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PIM SUWANNARAT MD
NPI 1104010776
Medical Genetics - Clinical Genetics (M.D.) in Suitland, MD

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
5100 AUTH WAY, SUITLAND, MD 20746(301) 702-5250(301) 702-5644 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2021, Jun 1, 2021, Nov 8, 2016 (3 updates tracked since 2016).

About Pim Suwannarat Md NPPES

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

PIM SUWANNARAT MD (NPI 1104010776) is an individual clinical genetics (m.d.) provider in Suitland, Maryland, licensed in California (A108298) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104010776
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NamePIM SUWANNARATCredential: MD
Location Address5100 AUTH WAYSuitland, MD 20746-4207
Mailing Address5100 Auth WaySuitland, MD 20746-4207 · (301) 702-5250 · Fax (301) 702-5644
Phone(301) 702-5250
Fax(301) 702-5644
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 28, 2007
Last NPPES UpdateJune 7, 20213 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1104010776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in CA · A108298
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedMedical Genetics · Clinical Biochemical GeneticsTaxonomy 207SG0202X · License A108298 (CA)
5100 AUTH WAY, Suitland, MD 20746
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pim Suwannarat 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 ID6608960125
PECOS Enrollment IDI20140305000360, I20220806000325
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.

Medicare Billing Reassignment

Medicare enrollment records show Pim Suwannarat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Same address
Health Maintenance Organization
5100 AUTH WAY
Suitland, MD 20746
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1285752121 (Maryland)
  • 2,492 clinicians in this Medicare group
NPI 1730200965 (301) 702-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ALLISON R REITER M.D.
Obstetrics & Gynecology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5133
ADA UKPAI EMARIEVBE M.D
Obstetrics & Gynecology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5000
DR. GRACE ELAINE MCGIBBON MD
Ophthalmology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5292
DR. LESLY ROBERT LAMARQUE M.D.
Obstetrics & Gynecology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5133
ROZLYN T SEARVANCE PHARMD
Pharmacist (Nuclear)
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5235
MRS. KAREN EVON LATSON RPH
Pharmacist
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5629
AYANNA BEARD MD
Family Medicine
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5100
MS. DAWN M ANDERSON LCSW-C
Social Worker (Clinical)
5100 AUTH WAY, KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER
SUITLAND, MD 20746
Prince George's County (301) 702-5000

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 Pim Suwannarat's NPI number?

The NPI number for Pim Suwannarat is 1104010776. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Pim Suwannarat located?

Pim Suwannarat practices at 5100 Auth Way, Suitland, MD 20746. The listed phone number is (301) 702-5250.

What is Pim Suwannarat's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Pim Suwannarat enrolled in Medicare?

Yes. Pim Suwannarat 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.

Which organization bills Medicare for Pim Suwannarat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pim Suwannarat reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Suitland, MD). 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 Pim Suwannarat'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 Pim Suwannarat was last updated on June 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.