1. Home
  2. Directory
  3. Virginia
  4. Midlothian
  5. Internal Medicine
  6. NPI Profile

SONIA SHAH-PANDYA M.D.
NPI 1225053697
Internal Medicine in Midlothian, VA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
13700 ST FRANCIS BLVD, SUITE 510, MIDLOTHIAN, VA 23114(804) 423-8470(804) 423-8471 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sonia Shah-pandya M.d. NPPES

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

SONIA SHAH-PANDYA M.D. (NPI 1225053697) is an individual internal medicine provider in Midlothian, Virginia, licensed in Virginia (0101229509) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1225053697
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONIA SHAH-PANDYACredential: M.D.
Location Address13700 ST FRANCIS BLVD, SUITE 510Midlothian, VA 23114-3222
Mailing Address13700 St Francis Blvd, Suite 510Midlothian, VA 23114-3222 · (804) 423-8470 · Fax (804) 423-8471
Phone(804) 423-8470
Fax(804) 423-8471
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 13, 2006
Last NPPES UpdateDecember 6, 2011
✔ NPI 1225053697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101229509
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13700 ST FRANCIS BLVD, Midlothian, VA 23114
Open in Google Maps ↗

Other Names 1

Former Name (1)Sonia Shah M.d.

Other Identifiers 2

OtherC06695VA · Group Ptan
Medicare UPINH65058VA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sonia Shah-pandya 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 ID9133129166
PECOS Enrollment IDI20061222000019
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sonia Shah-pandya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours St. Francis Medical Center, Inc.
Same address
Obstetrics & Gynecology
13700 ST FRANCIS BLVD STE 502, MOB
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 61 clinicians in this Medicare group
NPI 1750656625 (804) 594-4700
Bon Secours St Mary's Hospital Of Richmond LLC
7.2 mi
Internal Medicine
9220 FOREST HILL AVE, SUITE 1-A
Richmond, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Bon Secours St Marys Hospital Of Richmond LLC
  • 164 clinicians in this Medicare group
NPI 1265719504 (804) 560-8838
Bon Secours Medical Group Richmond Primary Care LLC
18 mi
Family Medicine
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 140 clinicians in this Medicare group
NPI 1861050635 (804) 627-5573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
1,019 services488 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
444 services444 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.
138 services120 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
125 services95 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes 99422
This is a digital health service for existing patients. Over a week, your healthcare provider will assess and manage your health concerns online. The total time spent communicating will be between 11-20 minutes. This service offers convenience and continuous care.
26 services23 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23114 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%431 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
34%96 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%618 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
74%530 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
84%425 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
0%473 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers49 claims117 services$6.35 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers13 claims2,863 services$0.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$15.95 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$179.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers12 claims12 services$23.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARK A GENTZ D.O.
Internal Medicine (Infectious Disease)
13700 ST FRANCIS BLVD, SUITE 505
MIDLOTHIAN, VA 23114
Chesterfield County (804) 601-0609
SHASHI KUMAR PRABHAKAR M.D.
Internal Medicine (Cardiovascular Disease)
13700 ST FRANCIS BLVD, SUITE 600
MIDLOTHIAN, VA 23114
Chesterfield County (804) 794-6400
DR. TRACY HICKS M.D.
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 305
MIDLOTHIAN, VA 23114
Chesterfield County (804) 320-2483
DR. UMARAN CHOUDRY M.D.
Emergency Medicine
13700 ST FRANCIS BLVD, EMERGENCY MEDICINE DEPARTMENT
MIDLOTHIAN, VA 23114
Chesterfield County (804) 594-7950
DR. SHAKIL A KHAN M.D.
Specialist
13700 ST FRANCIS BLVD, SUITE 600
MIDLOTHIAN, VA 23114
Chesterfield County (804) 794-6400
ADVANCED ORTHOPAEDICS
Durable Medical Equipment & Medical Supplies
13700 ST FRANCIS BLVD
MIDLOTHIAN, VA 23114
Chesterfield County (804) 270-1305
FRANCESCA LEVINE GLYNN MD
Internal Medicine
13700 ST FRANCIS BLVD, SUITE 510
MIDLOTHIAN, VA 23114
Chesterfield County (804) 423-8470
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 500
MIDLOTHIAN, VA 23114
Chesterfield County (804) 594-4700

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 Sonia Shah-pandya's NPI number?

The NPI number for Sonia Shah-pandya is 1225053697. It was assigned to this individual provider in the NPPES registry on July 13, 2006. The provider is also known as Sonia Shah M.D..

Where is Sonia Shah-pandya located?

Sonia Shah-pandya practices at 13700 St Francis Blvd Suite 510, Midlothian, VA 23114. The listed phone number is (804) 423-8470.

What is Sonia Shah-pandya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sonia Shah-pandya enrolled in Medicare?

Yes. Sonia Shah-pandya 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.

Which organizations bill Medicare for Sonia Shah-pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Shah-pandya reassigns Medicare benefits to 3 organizations: Bon Secours St. Francis Medical Center, Inc. (Midlothian, VA), Bon Secours St Mary's Hospital Of Richmond LLC (Richmond, VA) and Bon Secours Medical Group Richmond Primary Care LLC (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonia Shah-pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Shah-pandya accept?

Health plans from Oscar Health list Sonia Shah-pandya 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 Sonia Shah-pandya affiliated with any hospitals?

According to CMS data, Sonia Shah-pandya is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center, Bon Secours Richmond Community Hospital, Cjw Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Sonia Shah-pandya was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.