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DR. SONJA ZANETA GERALD M.D.
NPI 1700197167
Internal Medicine in Capitol Heights, MD

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
4744 MARLBORO PIKE, CAPITOL HEIGHTS, MD 20743(240) 670-1003(240) 532-5071 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sonja Zaneta Gerald M.d. NPPES

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

DR. SONJA ZANETA GERALD M.D. (NPI 1700197167) is an individual internal medicine provider in Capitol Heights, Maryland, licensed in District Of Columbia (MD042488) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Howard University College Of Medicine (2010).

NPPES Registry Identity

NPI1700197167
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SONJA ZANETA GERALDCredential: M.D.
Location Address4744 MARLBORO PIKECapitol Heights, MD 20743-5212
Mailing Address1160 Varnum St Ne Ste 117Washington, DC 20017-2106 · (240) 670-1003 · Fax (240) 532-5071
Phone(240) 670-1003
Fax(240) 532-5071
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateApril 1, 2020
NPPES CertifiedApril 1, 2020
✔ NPI 1700197167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DC · MD042488✔ Licensed in MD · D76180
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.
4744 MARLBORO PIKE, Capitol Heights, MD 20743
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Secondary Practice Locations 3

Location 17940 Johnson AveGlenarden, MD 20706-1772 · Phone (301) 364-3200 · Fax (301) 364-3261
Location 21160 Varnum St NE Ste 117Washington, DC 20017-2106 · Phone (202) 832-7007 · Fax (202) 529-5290
Location 32905 Mitchellville Rd Ste 102Bowie, MD 20716-3951 · Phone (301) 218-4101 · Fax (301) 218-0945

Other Identifiers 2

Medicaid138135100MD
Medicaid081592604DC

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

Dr. Sonja Zaneta Gerald 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 ID3870882012
PECOS Enrollment IDI20171215002258
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 10

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 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.
262 services145 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.
152 services93 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
91 services91 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
88 services88 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.
87 services87 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
67 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20743 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers19 claims66 services$6.49 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims1,100 services$0.10 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
3 suppliers12 claims12 services$184.46 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

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

GERALD FAMILY CARE PC
Family Medicine
4744 MARLBORO PIKE
CAPITOL HEIGHTS, MD 20743
Prince George's County (240) 670-1003

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 Sonja Gerald's NPI number?

The NPI number for Sonja Gerald is 1700197167. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Sonja Gerald located?

Sonja Gerald practices at 4744 Marlboro Pike, Capitol Heights, MD 20743. The listed phone number is (240) 670-1003.

What is Sonja Gerald's specialty?

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

Is Sonja Gerald enrolled in Medicare?

Yes. Sonja Gerald 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.

When was this NPI record last updated?

The NPPES record for Sonja Gerald was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.