SUPATIDA TENGSUPAKUL M.D.
NPI 1154648210
Pediatrics - Pediatric Infectious Diseases in Mobile, AL

Q: What is Supatida Tengsupakul's NPI number?

The NPI number for Supatida Tengsupakul is 1154648210. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Q: What is Supatida Tengsupakul's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Active since April 29, 2010PECOS Enrolled

1601 CENTER ST, MOBILE, AL 36604(251) 410-5437(251) 434-3852 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2021, Apr 24, 2017 (2 updates tracked since 2017).

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About Supatida Tengsupakul M.d. NPPES

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

SUPATIDA TENGSUPAKUL M.D. (NPI 1154648210) is an individual pediatric infectious diseases provider in Mobile, Alabama, licensed in Alabama (35632) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154648210

Entity TypeIndividualFemale

Primary Taxonomy2080P0208X

Provider Legal NameSUPATIDA TENGSUPAKULCredential: M.D.

Location Address1601 CENTER STMobile, AL 36604-1541

Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 434-3626 · Fax (251) 445-2464

Phone(251) 410-5437

Fax(251) 434-3852

Sole ProprietorNo

Enumeration DateApril 29, 2010

Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration

NPPES CertifiedMarch 3, 2021

✔ NPI 1154648210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

Licenses✔ Licensed in AL · 35632✔ Licensed in TX · P7581

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Also ListedPediatricsTaxonomy 208000000X · License P7581 (TX)

1601 CENTER ST, Mobile, AL 36604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supatida Tengsupakul M.d. 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.

MRS. JENNIFER GALLAGHER WILLIAMS CRNP

Nurse Practitioner (Pediatrics)

1601 CENTER ST, STE 1S
MOBILE, AL 36604

Mobile County (251) 410-5437

LADONNA M. CREWS MD

Pediatrics

1601 CENTER ST, STE 1N
MOBILE, AL 36604

Mobile County (251) 410-5437

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