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DR. EKAMOL TANTISATTAMO MD
NPI 1104053024
Internal Medicine - Nephrology in Orange, CA

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 THE CITY DR S BLDG 30, ORANGE, CA 92868(714) 456-7720 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ekamol Tantisattamo Md NPPES

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

DR. EKAMOL TANTISATTAMO MD (NPI 1104053024) is an individual nephrology provider in Orange, California, licensed in California (A151885) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Royal Oak, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104053024
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. EKAMOL TANTISATTAMOCredential: MD
Location Address101 THE CITY DR S BLDG 30Orange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Phone(714) 456-7720
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 18, 2009
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1104053024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A151885
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5680 (HI)
101 THE CITY DR S BLDG 30, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 13535 W 13 Mile Rd, # 644Royal Oak, MI 48073-6770 · Phone (248) 551-2594

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ekamol Tantisattamo 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 ID648582627
PECOS Enrollment IDI20171128001948
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
323 services177 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
297 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
199 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services36 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
16 suppliers91 claims7,590 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers13 claims2,250 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers25 claims2,550 services$0.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
13 suppliers51 claims51 services$17.83 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
17 suppliers89 claims98 services$12.35 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 9

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

DR. MICHAEL Y OH MD
Neurological Surgery
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Orange County (714) 456-6966
DR. IAN CHANG D.O.
Internal Medicine (Rheumatology)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Orange County (714) 456-7720
DR. ADITI THAKKAR MBBS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Orange County (714) 456-7720
DR. IRENE TSAI M.D.
Radiology (Diagnostic Radiology)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Orange County (714) 456-2235
UTTAM G REDDY M.D.
Internal Medicine (Nephrology)
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Orange County (714) 456-7720
DR. ISMAIL KASIMOGLU MD, PHD, MBA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 THE CITY DR S BLDG 30, PAVILION 1, BLDG.30
ORANGE, CA 92868
Orange County (714) 456-7720
JULIA HSIU-LING LIANG NP
Nurse Practitioner
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Orange County (714) 456-7720
DR. AHMED MOHYELDIN MD
Neurological Surgery
101 THE CITY DR S BLDG 30
ORANGE, CA 92868
Orange County (714) 456-6966

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 Ekamol Tantisattamo's NPI number?

The NPI number for Ekamol Tantisattamo is 1104053024. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Ekamol Tantisattamo located?

Ekamol Tantisattamo practices at 101 The City Dr S Bldg 30, Orange, CA 92868. The listed phone number is (714) 456-7720.

What is Ekamol Tantisattamo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ekamol Tantisattamo enrolled in Medicare?

Yes. Ekamol Tantisattamo 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.

When was this NPI record last updated?

The NPPES record for Ekamol Tantisattamo was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.