SONEA MAHBOOB (MD) – Psychiatry Physician, NPI 1790063402

SONEA MAHBOOB (MD) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 267882 (NY). The NPI Number for SONEA MAHBOOB (MD) is 1790063402

Main info

Female
Sole Proprietor
23 Years Of Experience
Name
SONEA MAHBOOB (MD)
NPI
1790063402
Phone
(920) 456-2025
Address
700 N WESTHAVEN DR
Enumeration Date
29 July 2011
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8149449970
Graduation Year
2003 (23 years ago)
PAC ID
0244523645
Group Practice PAC ID
7113111261
Professional Enrollment ID
I20250117000616
Address ID
PA166022419AL705XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

677 PSYCHIATRY in WI

Provider Addresses for SONEA MAHBOOB (MD)

  • 700 N WESTHAVEN DR

    OSHKOSH, WI 549046947

    Phone: (920) 456-2025

    Type: Mailing

  • 2500 CASSADY AVE

    HUNTINGDON, PA 166522674

    Phone: (814) 345-1901

    Type: Location

  • 10 Ann street

    Bergenfield, NJ 07621

    Phone: (551) 574-3004

    Type: Location

  • W6144 AEROTECH DR

    APPLETON, WI 549147503

    Phone: (920) 921-3343

    Type: Location

  • 40 PARSONS WAY

    AVON, CT 060012539

    Phone: (551) 574-3004

    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: 2025-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160722000739IPsychiatryNYTBD
I20190306000555IPsychiatryWITBD
I20220510002099IPsychiatryALTBD
I20250117000616IPsychiatryPATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes7728$0
99213Established patient office or other outpatient visit, 20-29 minutes5432$0
99214Established patient office or other outpatient visit, 30-39 minutes3923$0
90833Psychotherapy with evaluation and management visit, 30 minutes2911$0
View full utilization report →

Insurance plans in this area (ZIP 54904)

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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: 7113111261View full group profile
NameSpecialtyState
Mental Health CounselorPA
Nurse PractitionerMD
-PA
-PA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What unique ID ties claims to SONEA MAHBOOB (MD)?
NPI 1790063402 is assigned to SONEA MAHBOOB (MD) under the national enumeration system.
Does this profile mean SONEA MAHBOOB (MD) is currently active?
Yes — SONEA MAHBOOB (MD) appears active in the national provider directory.
What kind of provider is SONEA MAHBOOB (MD)?
The page reflects Psychiatry Physician for SONEA MAHBOOB (MD). Clinical services aligned with this taxonomy classification.
Where does public data place SONEA MAHBOOB (MD)?
The snapshot lists Oshkosh, Wisconsin for SONEA MAHBOOB (MD); download NPPES for the complete set.
What if Oshkosh, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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