DR. SONYA BABAR SHAH M.D.
NPI 1083841886
Ophthalmology in Falls Church, VA

Q: What is Sonya Shah's NPI number?

The NPI number for Sonya Shah is 1083841886. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Q: What is Sonya Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sonya Shah was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment

95.57/100

CMS Quality Rating

6231 LEESBURG PIKE, SUITE 608, FALLS CHURCH, VA 22044(703) 534-3900 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2017, May 13, 2016 (2 updates tracked since 2016).

On this page

About Dr. Sonya Babar Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SONYA BABAR SHAH M.D. (NPI 1083841886) is an individual ophthalmology provider in Falls Church, Virginia, licensed in Virginia (0101256261) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2009).

NPPES Registry Identity

NPI1083841886

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. SONYA BABAR SHAHCredential: M.D.

Location Address6231 LEESBURG PIKE, SUITE 608Falls Church, VA 22044-2102

Mailing Address1704 S Edgewood StArlington, VA 22204-5234 · (845) 304-7629

Phone(703) 534-3900

Sole ProprietorYes

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2009

Enumeration DateJune 18, 2009

Last NPPES UpdateJuly 6, 20172 updates tracked since enumeration

✔ NPI 1083841886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101256261

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 0101256261 (VA)

6231 LEESBURG PIKE, Falls Church, VA 22044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sonya Babar Shah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638319650

PECOS Enrollment IDI20141002000950, I20230829002691

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

489 services361 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

461 services448 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

314 services304 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

304 services275 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

234 services183 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

147 services132 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

110 services70 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

96 services58 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

87 services79 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

65 services64 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

52 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

37 services24 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.04

Promoting Interoperability

100

Improvement Activities

Cost

92.19

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN L HERMANSEN M.D.

Otolaryngology

6231 LEESBURG PIKE, 500
FALL CHURCH, VA 22044

Fairfax County (703) 536-2729

DR. MARY BETH MCATEER MD

Ophthalmology

6231 LEESBURG PIKE, SUITE 608
FALLS CHURCH, VA 22044

Fairfax County (703) 534-3900

NORTHERN VIRGINIA OPHTHALMOLOGY ASSOC P.C

Eyewear Supplier

6231 LEESBURG PIKE, SUITE 608
FALLS CHURCH, VA 22044

Fairfax County (703) 534-5405

MS. CHRISTINE D HAZEN-FLEMING O.T.

Specialist

6231 LEESBURG PIKE, SUITE L-1
FALLS CHURCH, VA 22044

Fairfax County (703) 536-1817

CURRY & ASSOCIATES, PC

Clinic/Center (Primary Care)

6231 LEESBURG PIKE, SUITE 200
FALLS CHURCH, VA 22044

Fairfax County (703) 534-5880

NORTHERN VIRGINIA OPHTHALMOLOGY ASSOC P.C.

Ophthalmology

6231 LEESBURG PIKE, SUITE 608
FALLS CHURCH, VA 22044

Fairfax County (703) 534-3900

MS. AMY V. ENGEL O.T.

Specialist

6231 LEESBURG PIKE, SUITE L-1
FALLS CHURCH, VA 22044

Fairfax County (703) 536-1817

DR. JESSICA ELIZABETH OLIVER MD

Ophthalmology

6231 LEESBURG PIKE, SUITE 608
FALLS CHURCH, VA 22044

Fairfax County (703) 534-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sonya Shah's NPI number?

The NPI number for Sonya Shah is 1083841886. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Sonya Shah located?

Sonya Shah practices at 6231 Leesburg Pike Suite 608, Falls Church, VA 22044. The listed phone number is (703) 534-3900.

What is Sonya Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sonya Shah enrolled in Medicare?

Yes. Sonya Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sonya Shah accept?

Health plans from Providence Health Plan list Sonya Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sonya Shah was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.