Individual provider Active NPI

Sheila D Pongnon, MD

  • Obstetrics & Gynecology Physician
  • Mount Vernon, NY
National Provider Identifier
1457379331
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
238292 Issued in NY
Practice address
105 Stevens Ave
Suite 506
Mount Vernon, NY 10550-2686
Phone
(914) 665-2229
Fax
(914) 665-2228
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 238292 NY Primary

Addresses

Primary practice location

105 Stevens Ave
Suite 506
Mount Vernon, NY 10550-2686

Mailing address

105 Stevens Ave
Suite 506
Mount Vernon, NY 10550-2686
Phone (914) 665-2229

Other identifiers 1

IdentifierTypeStateIssuer
02822957MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000449 NY Practitioner - Obstetrics/Gynecology 1759381585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Stevens Ave
Suite 506
Mount Vernon, NY 10550-2683
Phone (914) 665-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
238292NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Practice, PC Current Accepting new patients
The Westchester Medical Practice, PC CurrentSince Sep 23, 2025 Accepting new patients
North Coast Anesthesia LLC PastSince Jan 15, 2015 Accepting new patients
Sound Shore Physician Services Past Accepting new patients

Locations

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

16 Guion Pl
Rm 107
New Rochelle, NY 10801
Phone (914) 365-3160

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sheila.pongnon.1@10225.direct.athenahealth.com
  • Direct secure messaging: sheila.pongnon@direct.hvhc.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1457379331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 506",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-665-2229",
            "fax_number": "914-665-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 506",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-665-2229",
            "fax_number": "914-665-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGNON",
        "first_name": "SHEILA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "238292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02822957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.