CHRISTOPHER THIPPHAVONG MD
NPI 1023645363
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
4802 10TH AVE, BROOKLYN, NY 11219(949) 923-1903 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2023, Oct 28, 2023, Mar 26, 2020 (3 updates tracked since 2020).

About Christopher Thipphavong Md NPPES

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

CHRISTOPHER THIPPHAVONG MD (NPI 1023645363) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023645363
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTOPHER THIPPHAVONGCredential: MD
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address4802 10th AveBrooklyn, NY 11219-2916
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateOctober 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
NPI 1023645363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4802 10TH AVE, Brooklyn, NY 11219

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

Christopher Thipphavong Md 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 ID345774857
PECOS Enrollment IDI20241106002422
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.

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.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

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 Christopher Thipphavong's NPI number?

The NPI number for Christopher Thipphavong is 1023645363. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Christopher Thipphavong located?

Christopher Thipphavong practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (949) 923-1903.

What is Christopher Thipphavong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christopher Thipphavong enrolled in Medicare?

Yes. Christopher Thipphavong 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 Christopher Thipphavong was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.