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RICHARD RITT PONGVITAYAPANU MD
NPI 1518499805
Pediatrics in Center Moriches, NY

Active since March 28, 2017PECOS Enrolled
600 MAIN ST STE A, CENTER MORICHES, NY 11934(631) 444-5437(631) 444-7865 Get Directions Write a Review

NPPES record last updated: May 1, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 9, 2020, Mar 28, 2017 (2 updates tracked since 2017).

About Richard Ritt Pongvitayapanu Md NPPES

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

RICHARD RITT PONGVITAYAPANU MD (NPI 1518499805) is an individual pediatrics provider in Center Moriches, New York, licensed in New York (304145) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518499805
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRICHARD RITT PONGVITAYAPANUCredential: MD
Location Address600 MAIN ST STE ACenter Moriches, NY 11934-2207
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-2710 · Fax (631) 444-7865
Phone(631) 444-5437
Fax(631) 444-7865
Sole ProprietorNo
Enumeration DateMarch 28, 2017
Last NPPES UpdateMay 1, 20222 updates tracked since enumeration
NPPES CertifiedMay 1, 2022
✔ NPI 1518499805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 304145
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
600 MAIN ST STE A, Center Moriches, NY 11934
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Ritt Pongvitayapanu Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Pongvitayapanu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
19 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11934 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

DR. SUSAN DIANA WALKER M.D.
Pediatrics
600 MAIN ST STE A
CENTER MORICHES, NY 11934
Suffolk County (631) 638-2900

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 Richard Pongvitayapanu's NPI number?

The NPI number for Richard Pongvitayapanu is 1518499805. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Richard Pongvitayapanu located?

Richard Pongvitayapanu practices at 600 Main St Ste A, Center Moriches, NY 11934. The listed phone number is (631) 444-5437.

What is Richard Pongvitayapanu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Richard Pongvitayapanu enrolled in Medicare?

Yes. Richard Pongvitayapanu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Pongvitayapanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Pongvitayapanu reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, 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 Richard Pongvitayapanu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Pongvitayapanu was last updated on May 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.