MAHALATH SABINA PONGO PA-C
NPI 1881365872
Physician Assistant in Fort Myers, FL

Active since September 21, 2021PECOS EnrolledAccepts Medicare Assignment
8380 RIVERWALK PARK BLVD STE 100, FORT MYERS, FL 33919(239) 343-9960(239) 343-2997 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2021, Sep 21, 2021 (2 updates tracked since 2021).

About Mahalath Sabina Pongo Pa-c NPPES

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

MAHALATH SABINA PONGO PA-C (NPI 1881365872) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9114902) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881365872
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAHALATH SABINA PONGOCredential: PA-C
Location Address8380 RIVERWALK PARK BLVD STE 100Fort Myers, FL 33919-8758
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9960 · Fax (239) 343-9977
Fax(239) 343-2997
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 21, 2021
Last NPPES UpdateJune 1, 20222 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
NPI 1881365872 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 FL · PA9114902
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.

8380 RIVERWALK PARK BLVD STE 100, Fort Myers, FL 33919

Other Identifiers 1

Medicaid113843200FL

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

Mahalath Sabina Pongo Pa-c 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 ID8628460938
PECOS Enrollment IDI20220119000580
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL
OwnershipVoluntary non-profit - Other
CMS Certification Number101309
Location524 W Sagamore AveClewiston, FL 33440 · Hendry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 20

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

Surgery
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919
Nurse Practitioner (Gerontology)
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919
Nurse Practitioner (Gerontology)
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919
Surgery
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919
Physician Assistant
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919
Surgery
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919
Surgery
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919
Surgery (Vascular Surgery)
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919

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 Mahalath Pongo's NPI number?

The NPI number for Mahalath Pongo is 1881365872. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Mahalath Pongo located?

Mahalath Pongo practices at 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919. The listed phone number is (239) 343-9960.

What is Mahalath Pongo's specialty?

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

Is Mahalath Pongo enrolled in Medicare?

Yes. Mahalath Pongo 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.

Is Mahalath Pongo affiliated with any hospitals?

According to CMS data, Mahalath Pongo is affiliated with Lee Memorial Hospital and Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mahalath Pongo was last updated on June 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.