SONNLY RIBOURG PA
NPI 1154739241
Physician Assistant in Malden, MA

Active since August 01, 2014PECOS EnrolledAccepts Medicare Assignment
195 CANAL ST, MALDEN, MA 02148(781) 338-0500 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sonnly Ribourg Pa NPPES

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

SONNLY RIBOURG PA (NPI 1154739241) is an individual physician assistant in Malden, Massachusetts, licensed in Massachusetts (5114) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154739241
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSONNLY RIBOURGCredential: PA
Location Address195 CANAL STMalden, MA 02148-6701
Mailing Address158 Hancock St, Apt 1Everett, MA 02149-1333
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 1, 2014
Last NPPES UpdateAugust 24, 2015
NPI 1154739241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · 5114
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
195 CANAL ST, Malden, MA 02148

Accepted 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

Sonnly Ribourg Pa 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 ID4587955265
PECOS Enrollment IDI20160628001181
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 2

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 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.
77 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Pharmacist
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Family Medicine
195 CANAL ST
MALDEN, MA 02148
Registered Nurse
195 CANAL ST, SUITE 100
MALDEN, MA 02148
Health Educator
195 CANAL ST
MALDEN, MA 02148
Counselor
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148

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 Sonnly Ribourg's NPI number?

The NPI number for Sonnly Ribourg is 1154739241. It was assigned to this individual provider in the NPPES registry on August 1, 2014.

Where is Sonnly Ribourg located?

Sonnly Ribourg practices at 195 Canal St, Malden, MA 02148. The listed phone number is (781) 338-0500.

What is Sonnly Ribourg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sonnly Ribourg enrolled in Medicare?

Yes. Sonnly Ribourg 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 Sonnly Ribourg accept?

Health plans from Anthem Blue Cross and Blue Shield list Sonnly Ribourg 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.

Is Sonnly Ribourg affiliated with any hospitals?

According to CMS data, Sonnly Ribourg is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Sonnly Ribourg was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.