ROSABELLE PONG (PA-C) – Physician Assistant, NPI 1801590765

ROSABELLE PONG (PA-C) is a healthcare provider. based in Round rock, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA16663 (TX). The NPI Number for ROSABELLE PONG (PA-C) is 1801590765

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ROSABELLE PONG (PA-C)
NPI
1801590765
Phone
(512) 964-6992
Address
1717 I-35 N FRONTAGE RD.
Enumeration Date
27 March 2023
Last Update Date
10 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5129646992
Graduation Year
2021 (5 years ago)
PAC ID
4183069552
Group Practice PAC ID
8224108840
Professional Enrollment ID
I20240226003230
Address ID
TX786642901RO1717X35XX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for ROSABELLE PONG (PA-C)

  • 1717 I-35 N FRONTAGE RD.

    SUITE 200

    ROUND ROCK, TX 786642113

    Phone: (512) 964-6992

    Type: Mailing

  • 1717 N IH 35 STE 200

    ROUND ROCK, TX 786642901

    Phone: (512) 964-6992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 177 Open Payments records for all available years, with a total value of $4,388.

Total Amount is formed as General ($4,388) + Research ($0) + Ownership ($0) = $4,388.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($652).

Total Amount

$4,388

General + Research + Ownership

Payments

177

Total payment records

General Amount

$4,388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2024-02-26

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
I20240226003230IPhysician AssistantTXTBD

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 78664)

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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: 8224108840View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantFL
Physician AssistantTX

Reviews

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Frequently asked questions

Is there an official ID for ROSABELLE PONG (PA-C) in U.S. healthcare records?
The official identifier for ROSABELLE PONG (PA-C) is NPI 1801590765.
Active or inactive — what applies to ROSABELLE PONG (PA-C)?
You should see ROSABELLE PONG (PA-C) as active in CMS-hosted NPPES data.
What area of care is associated with ROSABELLE PONG (PA-C)?
ROSABELLE PONG (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ROSABELLE PONG (PA-C) associated with Round Rock?
Public fields place ROSABELLE PONG (PA-C) around Round Rock, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ROSABELLE PONG (PA-C) is noted as March 27, 2023 where the registry provides it.

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