MR. MARTIN NGU KWALE PONG PMHNP-BC
NPI 1245935204
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
About Mr. Martin Ngu Kwale Pong Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARTIN NGU KWALE PONG PMHNP-BC (NPI 1245935204) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (280285) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Martin Ngu Kwale Pong Pmhnp-bc 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 Reassignments
2Medicare enrollment records show Martin Pong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85007
- Reassigned Medicare billing, Arizona enrollment
- 55 clinicians in this Medicare group
Tempe, AZ 85288
- Reassigned Medicare billing, Arizona enrollment
- 25 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85031
PHOENIX, AZ 85031
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 Martin Pong's NPI number?
The NPI number for Martin Pong is 1245935204. It was assigned to this individual provider in the NPPES registry on March 31, 2023.
Where is Martin Pong located?
Martin Pong practices at 4338 W Thomas Rd, Phoenix, AZ 85031. The listed phone number is (682) 307-0864.
What is Martin Pong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Martin Pong enrolled in Medicare?
Yes. Martin Pong 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 organizations bill Medicare for Martin Pong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Pong reassigns Medicare benefits to 2 organizations: Connectionsaz, LLC (Phoenix, AZ) and Health Group Providers, LLC (Tempe, AZ). Each 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 Martin Pong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Pong accept?
Health plans from Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Martin Pong 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 Martin Pong was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Martin Ngu Kwale Pong, PMHNP-BC · NPI 1245935204
Psychiatric/Mental Health physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1245935204 (Entity type: Individual)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 280285 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4338 W THOMAS RD, Phoenix, AZ 85031-3878
- **Phone:** (682) 307-0864
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Connectionsaz, LLC (NPI 1083840953, Phoenix, AZ); Health Group Providers, LLC (NPI 1932560729, Tempe, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245935204) · Data from the CMS NPPES public registry.