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SONIKA MOMIN M.D.
NPI 1548655640
Family Medicine in Superior, CO

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
3 SUPERIOR DR STE 100B, SUPERIOR, CO 80027(303) 415-8940(303) 425-9259 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2022, May 12, 2022, Dec 4, 2020 and 1 more (4 updates tracked since 2020).

About Sonika Momin M.d. NPPES

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

SONIKA MOMIN M.D. (NPI 1548655640) is an individual family medicine provider in Superior, Colorado, licensed in Colorado (DR.0067915) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2015).

NPPES Registry Identity

NPI1548655640
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSONIKA MOMINCredential: M.D.
Location Address3 SUPERIOR DR STE 100BSuperior, CO 80027-8653
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-8940 · Fax (303) 425-9259
Phone(303) 415-8940
Fax(303) 425-9259
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateSeptember 29, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1548655640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR.0067915✔ Licensed in TX · R6052
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3 SUPERIOR DR STE 100B, Superior, CO 80027
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Secondary Practice Location 1

Location 111714 Wilson Parke Ave Ste 150Austin, TX 78726-4061 · Phone (512) 346-6611 · Fax (512) 406-6267

Other Identifiers 2

Medicaid387030505TX
Medicaid387030504TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Select 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

Sonika Momin 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 ID2264780865
PECOS Enrollment IDI20220316000392
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 Sonika Momin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boulder Community Health
Same address
Primary Care
3 SUPERIOR DR STE 100B
Superior, CO 80027
  • Reassigned Medicare billing, Colorado enrollment
  • 283 clinicians in this Medicare group
NPI 1053967869 (303) 415-8940

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.
106 services73 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.
53 services46 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.
30 services30 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.
22 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80027 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 5

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

BOULDER COMMUNITY HEALTH
Clinic/Center (Primary Care)
3 SUPERIOR DR STE 100B
SUPERIOR, CO 80027
Boulder County (303) 415-8940
DANIEL MEJIA MD
Family Medicine
3 SUPERIOR DR STE 100B
SUPERIOR, CO 80027
Boulder County (303) 415-8940
DR. AMANDA O'STEEN BABCOCK M.D.
Family Medicine
3 SUPERIOR DR STE 100B
SUPERIOR, CO 80027
Boulder County (303) 415-8940
DR. DAVID G APPLE D.O.
Family Medicine
3 SUPERIOR DR STE 100B
SUPERIOR, CO 80027
Boulder County (034) 158-9403
MS. MARY RYAN SCOTT APN
Nurse Practitioner (Family)
3 SUPERIOR DR STE 100B
SUPERIOR, CO 80027
Boulder County (303) 415-8940

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 Sonika Momin's NPI number?

The NPI number for Sonika Momin is 1548655640. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Sonika Momin located?

Sonika Momin practices at 3 Superior Dr Ste 100B, Superior, CO 80027. The listed phone number is (303) 415-8940.

What is Sonika Momin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sonika Momin enrolled in Medicare?

Yes. Sonika Momin 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 organization bills Medicare for Sonika Momin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonika Momin reassigns Medicare benefits to Boulder Community Health (Superior, CO). 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 Sonika Momin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonika Momin accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Select Health list Sonika Momin 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 Sonika Momin was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.