DR. SONA PATEL-GRIMM M.D.
NPI 1770719411
Obstetrics & Gynecology in Fairfax, VA
About Dr. Sona Patel-grimm M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SONA PATEL-GRIMM M.D. (NPI 1770719411) is an individual obstetrics & gynecology provider in Fairfax, Virginia, licensed in Virginia (0101254178) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of George Washington University School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Sona Patel-grimm 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.
Medicare Billing Reassignment
Medicare enrollment records show Sona Patel-grimm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MD 20759
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Capital Womens Care LLC
- 186 clinicians in this Medicare group
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 2
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.
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.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22031
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 Sona Patel-grimm's NPI number?
The NPI number for Sona Patel-grimm is 1770719411. It was assigned to this individual provider in the NPPES registry on June 9, 2009.
Where is Sona Patel-grimm located?
Sona Patel-grimm practices at 3025 Hamaker Ct Ste 200, Fairfax, VA 22031. The listed phone number is (703) 698-8060.
What is Sona Patel-grimm's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Sona Patel-grimm enrolled in Medicare?
Yes. Sona Patel-grimm 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 Sona Patel-grimm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sona Patel-grimm reassigns Medicare benefits to Capital Women's Care, L.L.C. (Fulton, MD). 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 Sona Patel-grimm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sona Patel-grimm accept?
Health plans from Oscar Health list Sona Patel-grimm 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 Sona Patel-grimm was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Sona Patel-Grimm, M.D. · NPI 1770719411
Obstetrics & Gynecology physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since June 9, 2009.
## Identity
- **NPI:** 1770719411 (Entity type: Individual)
- **Enumerated:** June 9, 2009
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 0101254178 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3025 HAMAKER CT STE 200, Fairfax, VA 22031-2237
- **Phone:** (703) 698-8060 · **Fax:** (703) 876-4691
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Capital Women's Care, L.L.C. (NPI 1679534069, Fulton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** November 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1770719411) · Data from the CMS NPPES public registry.