SUPATCHAYA TONGTHENG FNP
NPI 1093380446
Nurse Practitioner - Family in Worcester, MA

Active since May 26, 2021PECOS Enrolled
26 QUEEN STREET, WORCESTER, MA 01610(508) 860-7700 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2021, May 26, 2021 (2 updates tracked since 2021).

About Supatchaya Tongtheng Fnp NPPES

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

SUPATCHAYA TONGTHENG FNP (NPI 1093380446) is an individual family provider in Worcester, Massachusetts, licensed in Massachusetts (2299557) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093380446
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUPATCHAYA TONGTHENGCredential: FNP
Location Address26 QUEEN STREETWorcester, MA 01610-2473
Mailing Address26 Queen StreetWorcester, MA 01610 · (508) 860-7700
Sole ProprietorNo
Enumeration DateMay 26, 2021
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
NPI 1093380446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · 2299557
Also ListedRegistered NurseTaxonomy 163W00000X · License 2299557 (MA)
26 QUEEN STREET, Worcester, MA 01610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Supatchaya Tongtheng Fnp 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 01610 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$52.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
26 QUEEN STREET
WORCESTER, MA 01610
Pediatrics
26 QUEEN STREET
WORCESTER, MA 01610
Nurse Practitioner
26 QUEEN STREET, MEDICAL SERVICES-IBH
WORCESTER, MA 01610
Nurse Practitioner (Family)
26 QUEEN STREET
WORCESTER, MA 01610
Nurse Practitioner (Family)
26 QUEEN STREET
WORCESTER, MA 01610
Nurse Practitioner (Family)
26 QUEEN STREET
WORCESTER, MA 01610
Nurse Practitioner (Family)
26 QUEEN STREET
WORCESTER, MA 01610
Nurse Practitioner (Family)
26 QUEEN STREET, FP#4
WORCESTER, MA 01610

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 Supatchaya Tongtheng's NPI number?

The NPI number for Supatchaya Tongtheng is 1093380446. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Supatchaya Tongtheng located?

Supatchaya Tongtheng practices at 26 Queen Street, Worcester, MA 01610. The listed phone number is (508) 860-7700.

What is Supatchaya Tongtheng's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Supatchaya Tongtheng enrolled in Medicare?

Yes. Supatchaya Tongtheng is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Supatchaya Tongtheng was last updated on July 7, 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.