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WIMWIPA MONGKONSRITRAGOON MD
NPI 1144062498
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 08, 2024PECOS Enrolled
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5682 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wimwipa Mongkonsritragoon Md NPPES

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

WIMWIPA MONGKONSRITRAGOON MD (NPI 1144062498) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144062498
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameWIMWIPA MONGKONSRITRAGOONCredential: MD
Location Address3901 BEAUBIEN STDetroit, MI 48201-2196
Mailing Address3901 Beaubien StDetroit, MI 48201-2196 · (313) 745-5682
Phone(313) 745-5682
Sole ProprietorNo
Enumeration DateJune 8, 2024
NPPES CertifiedJune 8, 2024
✔ NPI 1144062498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 BEAUBIEN ST, Detroit, MI 48201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wimwipa Mongkonsritragoon Md 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.

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.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414
KELLY HOLZHAUSEN
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (734) 552-5323

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 Wimwipa Mongkonsritragoon's NPI number?

The NPI number for Wimwipa Mongkonsritragoon is 1144062498. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Wimwipa Mongkonsritragoon located?

Wimwipa Mongkonsritragoon practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-5682.

What is Wimwipa Mongkonsritragoon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wimwipa Mongkonsritragoon enrolled in Medicare?

Yes. Wimwipa Mongkonsritragoon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wimwipa Mongkonsritragoon was last updated on June 8, 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.