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SONIA MARIE ABUZAKHM MD
NPI 1659571065
Internal Medicine - Medical Oncology in Charlotte, NC

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
15830 BALLANTYNE MEDICAL PL, STE 200, CHARLOTTE, NC 28277(980) 442-9600 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Jun 14, 2021, Apr 26, 2021 and 1 more (4 updates tracked since 2017).

About Sonia Marie Abuzakhm Md NPPES

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

SONIA MARIE ABUZAKHM MD (NPI 1659571065) is an individual medical oncology provider in Charlotte, North Carolina, licensed in North Carolina (2022-03298) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1659571065
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameSONIA MARIE ABUZAKHMCredential: MD
Location Address15830 BALLANTYNE MEDICAL PL, STE 200Charlotte, NC 28277-4653
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 442-9600
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2007
Enumeration DateJuly 23, 2007
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1659571065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NC · 2022-03298
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2022-03298 (NC)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 2022-03298 (NC)
15830 BALLANTYNE MEDICAL PL, Charlotte, NC 28277
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Secondary Practice Locations 4

Location 11021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000
Location 24525 Cameron Valley Pkwy, Ste 3500Charlotte, NC 28211-4369 · Phone (704) 302-8300
Location 3945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790
Location 4100 Medical Park Dr, Ste 110Concord, NC 28025-2948 · Phone (704) 403-1370

Accepted Insurance

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

Sonia Marie Abuzakhm Md 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 ID749428563
PECOS Enrollment IDI20230614003916
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 4

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 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.
106 services38 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.
100 services52 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
55 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

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.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Promoting Interoperability100
Improvement Activities40
Cost55.35

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
23%26 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,255 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%260 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
97%240 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
9%35 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
32%312 patients2/55-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…
27%604 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%305 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 77% · 306 patients
80%306 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
59%312 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
35%312 patients2/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
22%41 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 298 patients
17%298 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

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

Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
2 suppliers14 claims516 services$0.59 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 13

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

JONATHAN M OLSON MD
Dermatology (MOHS-Micrographic Surgery)
15830 BALLANTYNE MEDICAL PL, SUITE 225
CHARLOTTE, NC 28277
Mecklenburg County (704) 919-1105
JAMES L SEWARD MD
Dermatology
15830 BALLANTYNE MEDICAL PL, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 341-0090
MRS. SHARMETRIS K WATKINS NP
Nurse Practitioner
15830 BALLANTYNE MEDICAL PL, SUITE 275
CHARLOTTE, NC 28277
Mecklenburg County (704) 542-0744
MICHAEL BALFOUR LIVINGSTON MD
Internal Medicine (Medical Oncology)
15830 BALLANTYNE MEDICAL PL, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (980) 442-9600
DR. ELIZABETH GAMBRELL GRATTAN M.D.
Dermatology
15830 BALLANTYNE MEDICAL PL, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 341-0090
AAKANKSHA ASIJA MD
Internal Medicine (Medical Oncology)
15830 BALLANTYNE MEDICAL PL, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (980) 442-9600
DR. SANDY CHARLES M.D.
Internal Medicine (Cardiovascular Disease)
15830 BALLANTYNE MEDICAL PL
CHARLOTTE, NC 28277
Mecklenburg County (980) 302-8659
RUNA SHRESTHA MD
Internal Medicine (Hematology & Oncology)
15830 BALLANTYNE MEDICAL PL, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (980) 442-9600

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 Abuzakhm's NPI number?

The NPI number for Sonia Abuzakhm is 1659571065. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Sonia Abuzakhm located?

Sonia Abuzakhm practices at 15830 Ballantyne Medical Pl Ste 200, Charlotte, NC 28277. The listed phone number is (980) 442-9600.

What is Sonia Abuzakhm's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Sonia Abuzakhm enrolled in Medicare?

Yes. Sonia Abuzakhm 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 Sonia Abuzakhm accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and CareSource and 2 other insurers list Sonia Abuzakhm 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 Abuzakhm affiliated with any hospitals?

According to CMS data, Sonia Abuzakhm is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Sonia Abuzakhm was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.