Noah Alexander Ponko, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA064026 Issued in PA

Practice address

117 Fox Plan Rd Ste 104
Monroeville, PA 15146-2723

Phone

(412) 896-4248

Fax

(412) 896-4271

NPI assigned

Feb 17, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Infectious Diseases Associates PCGroup PAC ID 1456722057, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc McKeesport Hospital Hospital, MC Keesport, PA, CCN 390002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: noah.a.ponko@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Infectious Diseases Associates PC

  • Infectious Disease Physician
  • Monroeville, PA
  • NPI 1104538123
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc McKeesport

  • Substance Use Disorder Rehabilitation Hospital Unit
  • McKeesport, PA
  • NPI 1043703531
  Care Compare affiliation
• Upmc McKeesport

  • General Acute Care Hospital
  • McKeesport, PA
  • NPI 1194734798
  Care Compare affiliation
• Upmc McKeesport

  • Psychiatric Hospital Unit
  • McKeesport, PA
  • NPI 1659381275
  Care Compare affiliation
• Upmc McKeesport

  • Ambulatory Surgical Clinic/Center
  • McKeesport, PA
  • NPI 1942364898

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1235837345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FOX PLAN RD STE 104",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462723",
            "telephone_number": "412-896-4248",
            "fax_number": "412-896-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FOX PLAN RD STE 104",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462723",
            "telephone_number": "412-896-4248",
            "fax_number": "412-896-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONKO",
        "first_name": "NOAH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Plowey
• Rachel Pokorney, M.D.
• Sarah Polantz, CRNP
• Julie Ann Polliard, PHARMD
• Makenna Pollock
• Gregory John Pontasch, MD
• Matthew John Pontoriero, PA-C
• Rachel Popovich
• Samuel John Popovich, D.M.D.
• Asha V Potnis, M.D.

• Physician Assistant in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.