MR. THANAPOOM BOONIPAT
NPI 1154852705
Plastic Surgery in Fort Worth, TX
About Mr. Thanapoom Boonipat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. THANAPOOM BOONIPAT (NPI 1154852705) is an individual plastic surgery provider in Fort Worth, Texas, licensed in Texas (U9214) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Thanapoom Boonipat 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thanapoom Boonipat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Lubbock, TX 79410
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Thanapoom Boonipat's NPI number?
The NPI number for Thanapoom Boonipat is 1154852705. It was assigned to this individual provider in the NPPES registry on March 24, 2017.
Where is Thanapoom Boonipat located?
Thanapoom Boonipat practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.
What is Thanapoom Boonipat's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Thanapoom Boonipat enrolled in Medicare?
Yes. Thanapoom Boonipat 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.
Which organizations bill Medicare for Thanapoom Boonipat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thanapoom Boonipat reassigns Medicare benefits to 2 organizations: Acclaim Physician Group, Inc (Fort Worth, TX) and Boonipat Craniofacial And Facial Plastic Surgery (Lubbock, TX). 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 Thanapoom Boonipat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thanapoom Boonipat accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Thanapoom Boonipat 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 Thanapoom Boonipat was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mr. Thanapoom Boonipat · NPI 1154852705
Plastic Surgery physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since March 24, 2017.
## Identity
- **NPI:** 1154852705 (Entity type: Individual)
- **Enumerated:** March 24, 2017
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** U9214 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX); Boonipat Craniofacial And Facial Plastic Surgery (NPI 1588419188, Lubbock, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154852705) · Data from the CMS NPPES public registry.