TANNAM SEAN VONGVIVITPATANA MD
NPI 1124887468
Student in an Organized Health Care Education/Training Program in Aurora, CO
About Tannam Sean Vongvivitpatana Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANNAM SEAN VONGVIVITPATANA MD (NPI 1124887468) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tannam Sean Vongvivitpatana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 Tannam Vongvivitpatana's NPI number?
The NPI number for Tannam Vongvivitpatana is 1124887468. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Tannam Vongvivitpatana located?
Tannam Vongvivitpatana practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-1784.
What is Tannam Vongvivitpatana's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tannam Vongvivitpatana enrolled in Medicare?
Yes. Tannam Vongvivitpatana is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tannam Vongvivitpatana was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tannam Sean Vongvivitpatana, MD · NPI 1124887468
Student in an Organized Health Care Education/Training Program provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1124887468 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 12631 E 17TH AVE, Aurora, CO 80045-2527
- **Phone:** (303) 724-1784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124887468) · Data from the CMS NPPES public registry.