DR. IDA TUWATANANURAK D.O. - NPI 1083092753 - Family Medicine in Los Angeles, CA

Q: 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.

Q: What is Ida Tuwatananurak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ida Tuwatananurak was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1083092753

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. IDA TUWATANANURAKCredential: D.O.

Location Address3727 W 6TH ST STE 200Los Angeles, CA 90020-5108

Mailing Address3727 W 6th St Ste 210Los Angeles, CA 90020-5108 · (213) 235-2500 · Fax (213) 427-4008

Phone(213) 235-2500

Fax(213) 251-8647

Sole ProprietorNo

Enumeration DateMay 13, 2015

Last NPPES UpdateMarch 31, 2021

NPPES CertifiedMarch 31, 2021

✔ NPI 1083092753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · 20A16453✔ Licensed in PA · OT016449

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3727 W 6TH ST STE 200, Los Angeles, CA 90020

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Secondary Practice Location 1

Location 15215 Centre AvePittsburgh, PA 15232-1303 · Phone (412) 623-2287

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. Ida Tuwatananurak D.o. 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 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.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ETHEL IHEDINANWA EMENOGU NP

Nurse Practitioner (Family)