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PERSEN SUKPORNCHAIRAK
NPI 1154908705
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 28, 2021PECOS Enrolled
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-5550 Get Directions Write a Review

NPPES record last updated: April 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2021, Mar 28, 2021 (2 updates tracked since 2021).

About Persen Sukpornchairak NPPES

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

PERSEN SUKPORNCHAIRAK (NPI 1154908705) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154908705
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePERSEN SUKPORNCHAIRAK
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address11100 Euclid AveCleveland, OH 44106-1716
Phone(216) 844-5550
Sole ProprietorNo
Enumeration DateMarch 28, 2021
Last NPPES UpdateApril 4, 20212 updates tracked since enumeration
NPPES CertifiedApril 4, 2021
✔ NPI 1154908705 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.
11100 EUCLID AVE, Cleveland, OH 44106
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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)

Persen Sukpornchairak 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.

DR. YU HYON KIM MD
Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3601
JENNIFER LYNN PARRY RN, CPNP
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5691
RAINBOW BABIES & CHILDREN'S HOSPITAL
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5261
DR. KA CHUN ALAN CHAN M.D
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHOR CHEUNG TAM M.D.
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 333-8948
DOMINIC CERCONE
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHRISTOPHER FELCHLIA MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-2273
GABRIELLA MARGUERITE RUSTIA MD
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8570

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 Persen Sukpornchairak's NPI number?

The NPI number for Persen Sukpornchairak is 1154908705. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Persen Sukpornchairak located?

Persen Sukpornchairak practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-5550.

What is Persen Sukpornchairak's specialty?

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

Is Persen Sukpornchairak enrolled in Medicare?

Yes. Persen Sukpornchairak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Persen Sukpornchairak was last updated on April 4, 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.