DR. AMANDA W PONG (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1750583399

DR. AMANDA W PONG (MD) is a healthcare provider. based in Stamford, Connecticut. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 249659 (NY). The NPI Number for DR. AMANDA W PONG (MD) is 1750583399

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA W PONG (MD)
NPI
1750583399
Phone
(619) 322-2577
Address
50 FOREST ST
Enumeration Date
5 June 2007
Last Update Date
15 August 2008

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
3015309745
Graduation Year
2002 (24 years ago)
PAC ID
3476629577
Group Practice PAC ID
6608217773
Professional Enrollment ID
I20210421001448
Address ID
MD208171844BE6410XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

508 NEUROLOGY in CT

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Provider Addresses for DR. AMANDA W PONG (MD)

  • 50, Forest Street, Northfield, Lawnhill Terrace, Stamford, Fairfield County, Connecticut, 06901, United States

    APT 1421

    STAMFORD, CT 06901

    Phone: (619) 322-2577

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 165 Open Payments records for all available years, with a total value of $6,251.

Total Amount is formed as General ($6,251) + Research ($0) + Ownership ($0) = $6,251.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: H. Lundbeck A S ($1,511).

Total Amount

$6,251

General + Research + Ownership

Payments

165

Total payment records

General Amount

$6,251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210421001448INeurologyDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608217773View full group profile
NameSpecialtyState
Physician AssistantMD
E P I L E P T O L O G I S T SMD
N E U R O L O G YMD

Reviews

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Frequently asked questions

Where can patients find DR. AMANDA W PONG (MD)'s NPI?
You can confirm DR. AMANDA W PONG (MD) with NPI 1750583399; it appears in the national provider directory.
Is DR. AMANDA W PONG (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. AMANDA W PONG (MD) work in?
You can think of DR. AMANDA W PONG (MD) as practicing within Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. AMANDA W PONG (MD)?
We surface Stamford, Connecticut for DR. AMANDA W PONG (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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