DR. SOPHIA MADAHAR ROALKVAM MD
NPI 1861996290
Family Medicine in Mesa, AZ

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
6242 E ARBOR AVE STE 111-113, MESA, AZ 85206(480) 536-6863(480) 718-1301 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2021, Mar 21, 2018 (2 updates tracked since 2018).

About Dr. Sophia Madahar Roalkvam Md NPPES

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

DR. SOPHIA MADAHAR ROALKVAM MD (NPI 1861996290) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (63941) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861996290
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SOPHIA MADAHAR ROALKVAMCredential: MD
Location Address6242 E ARBOR AVE STE 111-113Mesa, AZ 85206-1309
Mailing Address8207 E Mariposa DrScottsdale, AZ 85251-1734 · (909) 472-6885
Fax(480) 718-1301
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 20, 2018
Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1861996290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 63941
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.
6242 E ARBOR AVE STE 111-113, Mesa, AZ 85206

Other Names 1

Former Name (1)Sophia Madahar

Accepted 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

Dr. Sophia Madahar Roalkvam 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 ID1355748922
PECOS Enrollment IDI20210923003038, I20260331000985
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 24

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.
414 services208 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.
175 services175 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
158 services137 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
136 services124 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
131 services80 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
114 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Sophia Roalkvam's NPI number?

The NPI number for Sophia Roalkvam is 1861996290. It was assigned to this individual provider in the NPPES registry on March 20, 2018. The provider is also known as Sophia Madahar.

Where is Sophia Roalkvam located?

Sophia Roalkvam practices at 6242 E Arbor Ave Ste 111-113, Mesa, AZ 85206. The listed phone number is (480) 536-6863.

What is Sophia Roalkvam's specialty?

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

Is Sophia Roalkvam enrolled in Medicare?

Yes. Sophia Roalkvam 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 Sophia Roalkvam accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Sophia Roalkvam 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 Sophia Roalkvam was last updated on September 15, 2021. 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.