TIDA THAIPEJR MD - NPI 1174418560 - Student in an Organized Health Care Education/Training Program in Winter Garden, FL

Q: What is Tida Thaipejr's NPI number?

The NPI number for Tida Thaipejr is 1174418560. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Q: What is Tida Thaipejr's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tida Thaipejr was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tida Thaipejr Md NPPES

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

TIDA THAIPEJR MD (NPI 1174418560) is an individual student in an organized health care education/training program in Winter Garden, Florida, licensed in Florida (42940) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174418560

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTIDA THAIPEJRCredential: MD

Location Address2200 FOWLER GROVE BLVD STE 220Winter Garden, FL 34787-5597

Mailing Address2200 Fowler Grove Blvd Ste 220Winter Garden, FL 34787-5597 · (407) 656-0042

Phone(407) 656-0042

Sole ProprietorYes

Enumeration DateJune 9, 2025

NPPES CertifiedJune 9, 2025

✔ NPI 1174418560 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

License✔ Licensed in FL · 42940

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.

2200 FOWLER GROVE BLVD STE 220, Winter Garden, FL 34787

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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)

Tida Thaipejr Md 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.