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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SONYA SHERON VENTOUR MD
NPI 1225016611
Internal Medicine - Gastroenterology in Baldwin, NY

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
2280 GRAND AVE, STE 303, BALDWIN, NY 11510(516) 771-4971(516) 771-2758 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sonya Sheron Ventour Md NPPES

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

SONYA SHERON VENTOUR MD (NPI 1225016611) is an individual gastroenterology provider in Baldwin, New York, licensed in New York (184350) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1987).

NPPES Registry Identity

NPI1225016611
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSONYA SHERON VENTOURCredential: MD
Location Address2280 GRAND AVE, STE 303Baldwin, NY 11510
Mailing Address958 Iris LaneBaldwin, NY 11510 · (516) 771-4971 · Fax (516) 771-2758
Phone(516) 771-4971
Fax(516) 771-2758
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1987
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1225016611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 184350
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2280 GRAND AVE, Baldwin, NY 11510
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Other Identifiers 1

Medicaid01888182NY

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

Sonya Sheron Ventour 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 ID7719971787
PECOS Enrollment IDI20040413000217
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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
178 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
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.
32 services28 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
27 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11510 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%320 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,449 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%448 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%161 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%30 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%334 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%887 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
85%26 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
97%369 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
55%334 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
49%334 patients3/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT FISCH MD PC
Specialist
2280 GRAND AVE, SUITE 201A
BALDWIN, NY 11510
Nassau County (516) 255-0600
DR. SANJAY GOYAL M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2280 GRAND AVE, SUITE 307
BALDWIN, NY 11510
Nassau County (516) 378-3373
DR. SUSAN INA KANE DO
Family Medicine
2280 GRAND AVE, SUITE 208
BALDWIN, NY 11510
Nassau County (516) 623-4800
XIAOYA WANG O.M.D., L.AC
Acupuncturist
2280 GRAND AVE, STE 203
BALDWIN, NY 11510
Nassau County (516) 965-6990
DENISE C PINEAU P.T.
Physical Therapist
2280 GRAND AVE, SUITE 205
BALDWIN, NY 11510
Nassau County (516) 223-5306
BEVERLY S ADLER PH.D.
Psychologist (Clinical)
2280 GRAND AVE, SUITE 312
BALDWIN, NY 11510
Nassau County (516) 378-6676
DR. PETER JOSEPH AJEMIAN MD
Orthopaedic Surgery
2280 GRAND AVE, SUITE 201A
BALDWIN, NY 11510
Nassau County (516) 536-6800
DR. PAULA D YOUNG I M.D.
Internal Medicine
2280 GRAND AVE, SUITE 307
BALDWIN, NY 11510
Nassau County (516) 398-0029

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 Sonya Ventour's NPI number?

The NPI number for Sonya Ventour is 1225016611. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Sonya Ventour located?

Sonya Ventour practices at 2280 Grand Ave Ste 303, Baldwin, NY 11510. The listed phone number is (516) 771-4971.

What is Sonya Ventour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sonya Ventour enrolled in Medicare?

Yes. Sonya Ventour 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 Sonya Ventour affiliated with any hospitals?

According to CMS data, Sonya Ventour is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Sonya Ventour was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.