ROGER PONCHEK PA-C
NPI 1255333019
Physician Assistant - Surgical in Pittsburgh, PA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since August 11, 2005PECOS Enrolled

9104 BABCOCK BLVD, SUITE 2120, PITTSBURGH, PA 15237(412) 367-0600(412) 367-7079 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Roger Ponchek Pa-c NPPES

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

ROGER PONCHEK PA-C (NPI 1255333019) is an individual surgical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA002512L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255333019

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameROGER PONCHEKCredential: PA-C

Location Address9104 BABCOCK BLVD, SUITE 2120Pittsburgh, PA 15237-5818

Mailing Address9104 Babcock Blvd, Suite 2120Pittsburgh, PA 15237-5818 · (412) 367-0600 · Fax (412) 367-7079

Phone(412) 367-0600

Fax(412) 367-7079

Sole ProprietorNo

Enumeration DateAugust 11, 2005

Last NPPES UpdateMay 24, 2012

✔ NPI 1255333019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in PA · MA002512L

9104 BABCOCK BLVD, Pittsburgh, PA 15237

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Roger Ponchek Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.