SONJA MARIE LONGBOTHAM (MD) – Diagnostic Radiology Physician, NPI 1366603185

SONJA MARIE LONGBOTHAM (MD) is a healthcare provider. based in Houston, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. N0225 (TX). The NPI Number for SONJA MARIE LONGBOTHAM (MD) is 1366603185

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SONJA MARIE LONGBOTHAM (MD)
NPI
1366603185
Phone
(713) 442-0000
Address
2727 W HOLCOMBE BLVD
Enumeration Date
24 June 2008
Last Update Date
21 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9365397100
Graduation Year
2004 (22 years ago)
PAC ID
1456401322
Group Practice PAC ID
6305731118
Professional Enrollment ID
I20090615000680
Address ID
TX773042899CO500XXBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for SONJA MARIE LONGBOTHAM (MD)

  • Spencer R. Berthelsen, M.D., Main Campus, 2727, West Holcombe Boulevard, Houston, Harris County, Texas, 77025, United States

    HOUSTON, TX 770251669

    Phone: (713) 442-0000

    Type: Location

  • Shadow Creek Parkway, Pearland, Brazoria County, Texas, 77047-4593, United States

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090615000680IDiagnostic RadiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml1,96012$0
77063Screening 3d breast mammography296296$0
77067Screening mammography294294$0
76641Complete ultrasound scan of 1 breast9694$0
77066Diagnostic mammography of both breasts5151$0
View full utilization report →

Insurance plans in this area (ZIP 77025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305731118View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyLA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyTX
-TX
Interventional Cardiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyPA

Reviews

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Frequently asked questions

What number should I use to identify SONJA MARIE LONGBOTHAM (MD) for billing?
Administrative and clinical systems typically use NPI 1366603185 for SONJA MARIE LONGBOTHAM (MD).
Does the public listing show SONJA MARIE LONGBOTHAM (MD) as active?
SONJA MARIE LONGBOTHAM (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits SONJA MARIE LONGBOTHAM (MD)?
NPPES ties SONJA MARIE LONGBOTHAM (MD) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SONJA MARIE LONGBOTHAM (MD)?
SONJA MARIE LONGBOTHAM (MD) shows a connection to Houston, Texas in registry-derived data.
Who maintains SONJA MARIE LONGBOTHAM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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