1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Physician Assistant
  6. NPI Profile

SONIA J MABOUT PA-C
NPI 1770610289
Physician Assistant in Fairfax, VA

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
2812 OLD LEE HWY # 100B-D, FAIRFAX, VA 22031(571) 279-6849(571) 281-8697 Get Directions Write a Review

NPPES record last updated: June 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2020, Mar 17, 2018, Sep 21, 2017 and 1 more (4 updates tracked since 2016).

About Sonia J Mabout Pa-c NPPES

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

SONIA J MABOUT PA-C (NPI 1770610289) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110005904) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1770610289
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSONIA J MABOUTCredential: PA-C
Location Address2812 OLD LEE HWY # 100B-DFairfax, VA 22031-4315
Mailing Address2812 Old Lee Hwy # 100b-dFairfax, VA 22031-4315 · (571) 279-6849 · Fax (571) 281-8697
Phone(571) 279-6849
Fax(571) 281-8697
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJune 13, 20204 updates tracked since enumeration
NPPES CertifiedJune 13, 2020
✔ NPI 1770610289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110005904
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0010-01955 (NC)
2812 OLD LEE HWY # 100B-D, Fairfax, VA 22031
Open in Google Maps ↗

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 J Mabout Pa-c 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 ID6901939875
PECOS Enrollment IDI20220315000990
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.

Hospital Affiliations CMS Care Compare 2

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

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mabout's NPI number?

The NPI number for Sonia Mabout is 1770610289. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Sonia Mabout located?

Sonia Mabout practices at 2812 Old Lee Hwy # 100b-D, Fairfax, VA 22031. The listed phone number is (571) 279-6849.

What is Sonia Mabout's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sonia Mabout enrolled in Medicare?

Yes. Sonia Mabout 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.

Is Sonia Mabout affiliated with any hospitals?

According to CMS data, Sonia Mabout is affiliated with Novant Prince William Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Sonia Mabout was last updated on June 13, 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.