TANA CHONGSUWAT MD
NPI 1184070963
Family Medicine in Chicago, IL

Q: What is Tana Chongsuwat's NPI number?

The NPI number for Tana Chongsuwat is 1184070963. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Q: What is Tana Chongsuwat's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tana Chongsuwat was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment

2750 W NORTH AVE, CHICAGO, IL 60647(312) 666-3494 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Jan 26, 2023, Nov 3, 2021 and 3 more (6 updates tracked since 2016).

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About Tana Chongsuwat Md NPPES

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

TANA CHONGSUWAT MD (NPI 1184070963) is an individual family medicine provider in Chicago, Illinois, licensed in Wisconsin (73307) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184070963

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTANA CHONGSUWATCredential: MD

Location Address2750 W NORTH AVEChicago, IL 60647-5247

Mailing Address309 W Johnson St Apt 846Madison, WI 53703-3671

Phone(312) 666-3494

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 10, 2016

Last NPPES UpdateJuly 11, 20236 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1184070963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 73307✔ Licensed in IL · 036.162807

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2750 W NORTH AVE, Chicago, IL 60647

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Secondary Practice Location 1

Location 11102 S Park StMadison, WI 53715-1708 · Phone (608) 263-3111 · Fax (608) 263-6663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Tana Chongsuwat Md 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 ID4385871987

PECOS Enrollment IDI20200604003120, I20230824002754

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.

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.

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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.

SILVIA DIAZ LCSW

Social Worker (Clinical)