MR. THANAPOOM BOONIPAT
NPI 1154852705
Plastic Surgery in Fort Worth, TX

Q: 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.

Q: What is Thanapoom Boonipat's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment

1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1100 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2024, Aug 16, 2024, Apr 18, 2024 and 4 more (7 updates tracked since 2017).

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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

NPI1154852705

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameMR. THANAPOOM BOONIPAT

Location Address1500 S MAIN STFort Worth, TX 76104-4917

Mailing AddressPo Box 732973Dallas, TX 75373-2973

Phone(817) 702-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 24, 2017

Last NPPES UpdateDecember 20, 20247 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1154852705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in TX · U9214✔ Licensed in MN · 28451✔ Licensed in MN · 64276

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1500 S MAIN ST, Fort Worth, TX 76104

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Secondary Practice Locations 2

Location 1525 Oak Centre Dr Ste 260San Antonio, TX 78258-3945 · Phone (603) 731-6888

Location 212505 Quaker Ave Ste ALubbock, TX 79424-7743 · Phone (603) 731-6888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8426320151

PECOS Enrollment IDI20240515000122

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.

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.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JONATHAN A LAZARINI MD

Family Medicine

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (903) 353-2265

ALLYSON EVANS

Nurse Anesthetist, Certified Registered

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (801) 792-5267

DR. TREVOR A JOHNSON MD

Family Medicine

1500 S MAIN ST
FT WORTH, TX 76104

Tarrant County (817) 702-3431

DR. LELIA ERRETT WILLIAMS MD

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-1244

MITCHELL JOHNSON

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-1100

RIDDHI RANE MD

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-6500

DR. JOANE BAUMER M.D.

Family Medicine

1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104

Tarrant County (817) 335-1034

SHARYL WORKMAN PA

Physician Assistant

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 927-1100

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.

What insurance does Thanapoom Boonipat accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint 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 19 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.