DR. KULLATHAM KONGPAKPAISARN M.D.
NPI 1174972624
Internal Medicine - Pulmonary Disease in Bellevue, WA
About Dr. Kullatham Kongpakpaisarn M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KULLATHAM KONGPAKPAISARN M.D. (NPI 1174972624) is an individual pulmonary disease provider in Bellevue, Washington, licensed in Washington (MD61436567) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Kullatham Kongpakpaisarn M.d. 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98004 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.
BELLEVUE, WA 98004
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 Kullatham Kongpakpaisarn's NPI number?
The NPI number for Kullatham Kongpakpaisarn is 1174972624. It was assigned to this individual provider in the NPPES registry on June 6, 2016.
Where is Kullatham Kongpakpaisarn located?
Kullatham Kongpakpaisarn practices at 11511 NE 10th St, Bellevue, WA 98004. The listed phone number is (425) 502-3000.
What is Kullatham Kongpakpaisarn's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Kullatham Kongpakpaisarn enrolled in Medicare?
Yes. Kullatham Kongpakpaisarn 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.
When was this NPI record last updated?
The NPPES record for Kullatham Kongpakpaisarn was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kullatham Kongpakpaisarn, M.D. · NPI 1174972624
Pulmonary Disease physician in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since June 6, 2016.
## Identity
- **NPI:** 1174972624 (Entity type: Individual)
- **Enumerated:** June 6, 2016
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** MD61436567 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 11511 NE 10TH ST, Bellevue, WA 98004-8578
- **Phone:** (425) 502-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174972624) · Data from the CMS NPPES public registry.