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

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: October 18, 2026.

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

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Supatida Tengsupakul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usa Health Physician Billing Services LLC
Same address
Obstetrics & Gynecology
1601 CENTER ST
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
NPI 1013574722 (251) 415-1496
University Of South Alabama
1.6 mi
Clinical Medical Laboratory
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 394 clinicians in this Medicare group
NPI 1497859052 (251) 471-7000

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.

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
USA HEALTH PHYSICIAN BILLING SERVICES LLC
Obstetrics & Gynecology
1601 CENTER ST
MOBILE, AL 36604
Mobile County (251) 415-1496
USA HEALTH PHYSICIAN BILLING SERVICES LLC
Pediatrics (Pediatric Nephrology)
1601 CENTER ST
MOBILE, AL 36604
Mobile County (251) 410-5437
ELIZABETH FAIR PHD
Psychologist (Clinical)
1601 CENTER ST
MOBILE, AL 36604
Mobile County (251) 410-5437
KENDRA CRUM CRNP
Nurse Practitioner (Family)
1601 CENTER ST
MOBILE, AL 36604
Mobile County (251) 410-5437
DR. MURPHY MCGRIFF WALTERS MD
Orthopaedic Surgery
1601 CENTER ST
MOBILE, AL 36604
Mobile County (251) 665-8200
MISS CAITLYN BETH LATIOLAIS PA-C
Physician Assistant
1601 CENTER ST
MOBILE, AL 36604
Mobile County (251) 660-5108

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 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.

Where is Supatida Tengsupakul located?

Supatida Tengsupakul practices at 1601 Center St, Mobile, AL 36604. The listed phone number is (251) 410-5437.

What is Supatida Tengsupakul's specialty?

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

Is Supatida Tengsupakul enrolled in Medicare?

Yes. Supatida Tengsupakul is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Supatida Tengsupakul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supatida Tengsupakul reassigns Medicare benefits to 2 organizations: Usa Health Physician Billing Services LLC (Mobile, AL) and University Of South Alabama (Mobile, AL). Each 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 Supatida Tengsupakul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Supatida Tengsupakul accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Supatida Tengsupakul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Supatida Tengsupakul was last updated on March 3, 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.