SONYA SHERON VENTOUR MD
NPI 1225016611
Internal Medicine - Gastroenterology in Baldwin, NY
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Sonya Ventour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baldwin, NY 11510
- Reassigned Medicare billing, New York enrollment
- 944 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 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.
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, NYPhysician 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.
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
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.
BALDWIN, NY 11510
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.
Which organization bills Medicare for Sonya Ventour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Ventour reassigns Medicare benefits to Chs Physician Partners, PC (Baldwin, NY). 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 Sonya Ventour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 months 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.
# Sonya Sheron Ventour, MD · NPI 1225016611
Gastroenterology physician in Baldwin, New York. Individual provider, active in the CMS NPPES registry since January 5, 2006.
## Identity
- **NPI:** 1225016611 (Entity type: Individual)
- **Enumerated:** January 5, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 184350 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2280 GRAND AVE, STE 303, Baldwin, NY 11510
- **Phone:** (516) 771-4971 · **Fax:** (516) 771-2758
## 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:** Chs Physician Partners, PC (NPI 1912344250, Baldwin, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 1987
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 01888182 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1225016611) · Data from the CMS NPPES public registry.