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MS. SANDRA B MAMPOUYA PA
NPI 1427159367
Physician Assistant in Queens Village, NY

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
21468 WHITEHALL TER, QUEENS VILLAGE, NY 11427(718) 740-0253 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Sandra B Mampouya Pa NPPES

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

MS. SANDRA B MAMPOUYA PA (NPI 1427159367) is an individual physician assistant in Queens Village, New York, licensed in New York (009842) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1427159367
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SANDRA B MAMPOUYACredential: PA
Location Address21468 WHITEHALL TERQueens Village, NY 11427-1829
Mailing Address21468 Whitehall TerQueens Village, NY 11427-1829 · (718) 740-0253
Phone(718) 740-0253
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427159367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 009842
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21468 WHITEHALL TER, Queens Village, NY 11427
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Other Identifiers 2

Medicare ID-Type Unspecified00330231NY
Medicaid00246075NY

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

Ms. Sandra B Mampouya Pa 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 ID2567995897
PECOS Enrollment IDI20241025000132
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11427 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sandra Mampouya's NPI number?

The NPI number for Sandra Mampouya is 1427159367. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Sandra Mampouya located?

Sandra Mampouya practices at 21468 Whitehall Ter, Queens Village, NY 11427. The listed phone number is (718) 740-0253.

What is Sandra Mampouya's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sandra Mampouya enrolled in Medicare?

Yes. Sandra Mampouya 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.

When was this NPI record last updated?

The NPPES record for Sandra Mampouya was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.