DR. IDA TUWATANANURAK D.O.
NPI 1083092753
Family Medicine in Los Angeles, CA
About Dr. Ida Tuwatananurak D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IDA TUWATANANURAK D.O. (NPI 1083092753) is an individual family medicine provider in Los Angeles, California, licensed in California (20A16453) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburgh.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ida Tuwatananurak D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ida Tuwatananurak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90020
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90020
LOS ANGELES, CA 90020
LOS ANGELES, CA 90020
LOS ANGELES, CA 90020
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 Ida Tuwatananurak's NPI number?
The NPI number for Ida Tuwatananurak is 1083092753. It was assigned to this individual provider in the NPPES registry on May 13, 2015.
Where is Ida Tuwatananurak located?
Ida Tuwatananurak practices at 3727 W 6th St Ste 200, Los Angeles, CA 90020. The listed phone number is (213) 235-2500.
What is Ida Tuwatananurak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ida Tuwatananurak enrolled in Medicare?
Yes. Ida Tuwatananurak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ida Tuwatananurak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ida Tuwatananurak reassigns Medicare benefits to Korean Health Education Information And Research Center (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ida Tuwatananurak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ida Tuwatananurak was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Ida Tuwatananurak, D.O. · NPI 1083092753
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 13, 2015.
## Identity
- **NPI:** 1083092753 (Entity type: Individual)
- **Enumerated:** May 13, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A16453 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3727 W 6TH ST STE 200, Los Angeles, CA 90020-5108
- **Phone:** (213) 235-2500 · **Fax:** (213) 251-8647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Korean Health Education Information And Research Center (NPI 1437377454, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083092753) · Data from the CMS NPPES public registry.