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DR. SONIA ANN VARGHESE MD MPH MBA
NPI 1336674357
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Wilmington, NC

Active since April 27, 2017PECOS Enrolled
510 CAROLINA BAY DR STE 200, WILMINGTON, NC 28403(910) 662-8888(910) 662-8906 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 29, 2023, Apr 27, 2017 (2 updates tracked since 2017).

About Dr. Sonia Ann Varghese Md Mph Mba NPPES

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

DR. SONIA ANN VARGHESE MD MPH MBA (NPI 1336674357) is an individual neurology with special qualifications in child neurology provider in Wilmington, North Carolina, licensed in North Carolina (2022-02399) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spring.

NPPES Registry Identity

NPI1336674357
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. SONIA ANN VARGHESECredential: MD MPH MBA
Location Address510 CAROLINA BAY DR STE 200Wilmington, NC 28403-2046
Mailing Address7031 Villa Mountain LnSpring, TX 77379 · (832) 490-7763
Phone(910) 662-8888
Fax(910) 662-8906
Sole ProprietorNo
Enumeration DateApril 27, 2017
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1336674357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NC · 2022-02399
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 228185 (NC)
510 CAROLINA BAY DR STE 200, Wilmington, NC 28403
Open in Google Maps ↗

Secondary Practice Location 1

Location 17031 Villa Mountain LnSpring, TX 77379 · Phone (832) 490-7763

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sonia Ann Varghese Md Mph Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sonia Varghese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group Coastal Region, LLC
Same address
Surgery
5505 CURRITUCK DR STE 200
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group
NPI 1164221230 (910) 667-4289

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 9

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

MCCALL MILLIKEN
Registered Nurse (Diabetes Educator)
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8927
AMANDA R ROGERS APN
Nurse Practitioner (Pediatrics)
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8888
MS. SARAH LOUISE STEPHENS MS, RD, LDN
Dietitian, Registered
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8937
DR. YVONNE M PARIS MD
Pediatrics (Pediatric Cardiology)
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8888
MRS. SUSAN JORDAN BOYD FNP
Nurse Practitioner (Family)
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8888
JENNIFER KREIDER LCSW
Social Worker (Clinical)
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8888
ASHLEY ELIZABETH GOUSIOS MS, RDN, LDN, CNSC
Dietitian, Registered
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8987
ERIN RILEY GRAVES FNP
Nurse Practitioner
510 CAROLINA BAY DR STE 200
WILMINGTON, NC 28403
New Hanover County (910) 662-8888

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 Varghese's NPI number?

The NPI number for Sonia Varghese is 1336674357. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Sonia Varghese located?

Sonia Varghese practices at 510 Carolina Bay Dr Ste 200, Wilmington, NC 28403. The listed phone number is (910) 662-8888.

What is Sonia Varghese's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Sonia Varghese enrolled in Medicare?

Yes. Sonia Varghese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sonia Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Varghese reassigns Medicare benefits to Novant Health Medical Group Coastal Region, LLC (Wilmington, NC). The 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 Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Varghese accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Sonia Varghese 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 Sonia Varghese was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.