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DR. BOONYONG P THADA MD
NPI 1033218060
Internal Medicine in Baltimore, MD

Active since September 22, 2006PECOS Enrolled
5356 REISTERSTOWN ROAD, BALTIMORE, MD 21215(410) 358-5111(410) 358-9169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Boonyong P Thada Md NPPES

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

DR. BOONYONG P THADA MD (NPI 1033218060) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0019823) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033218060
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BOONYONG P THADACredential: MD
Location Address5356 REISTERSTOWN ROADBaltimore, MD 21215-4493
Mailing Address5356 Reisterstown RoadBaltimore, MD 21215-4493 · (410) 358-5111 · Fax (410) 358-9169
Phone(410) 358-5111
Fax(410) 358-9169
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033218060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0019823
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5356 REISTERSTOWN ROAD, Baltimore, MD 21215
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Other Names 1

Former Name (1)Dr. Boonyong Phruithithada Md

Other Identifiers 2

Medicare UPINB69679
Medicare ID-Type Unspecified6729B

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Boonyong P Thada 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Boonyong Thada's NPI number?

The NPI number for Boonyong Thada is 1033218060. It was assigned to this individual provider in the NPPES registry on September 22, 2006. The provider is also known as Dr. Boonyong Phruithithada MD.

Where is Boonyong Thada located?

Boonyong Thada practices at 5356 Reisterstown Road, Baltimore, MD 21215. The listed phone number is (410) 358-5111.

What is Boonyong Thada's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Boonyong Thada enrolled in Medicare?

Yes. Boonyong Thada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Boonyong Thada was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.