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DR. PON TRAIRATVORAKUL M.D.
NPI 1194038067
Student in an Organized Health Care Education/Training Program in Mobile, AL

Active since July 21, 2010PECOS Enrolled
1504 SPRINGHILL AVE, CHILDREN'S MEDICAL CENTER, MOBILE, AL 36604(251) 434-3915(251) 434-3802 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pon Trairatvorakul M.d. NPPES

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

DR. PON TRAIRATVORAKUL M.D. (NPI 1194038067) is an individual student in an organized health care education/training program in Mobile, Alabama and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194038067
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. PON TRAIRATVORAKULCredential: M.D.
Location Address1504 SPRINGHILL AVE, CHILDREN'S MEDICAL CENTERMobile, AL 36604-3207
Mailing Address1700 Center St, Pediatric Residency ProgramMobile, AL 36604-3301 · (251) 415-1087 · Fax (251) 415-1087
Phone(251) 434-3915
Fax(251) 434-3802
Sole ProprietorNo
Enumeration DateJuly 21, 2010
✔ NPI 1194038067 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.
1504 SPRINGHILL AVE, Mobile, AL 36604
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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)

Dr. Pon Trairatvorakul M.d. 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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LLOYD SCOTT CLEMENTS MD PHD
General Practice
1504 SPRINGHILL AVE, SUITE 1600
MOBILE, AL 36604
Mobile County (251) 434-3915
DR. SUZANNE DASHER STUCKEY MD
Pediatrics
1504 SPRINGHILL AVE, SUITE 1600
MOBILE, AL 36604
Mobile County (251) 434-3915
MS. KELLY DIANTHA ESTLE LCSW
Social Worker (Clinical)
1504 SPRINGHILL AVE
MOBILE, AL 36604
Mobile County (251) 709-6964
CASEY REED WYLIE
Student in an Organized Health Care Education/Training Program
1504 SPRINGHILL AVE, ROOM 3414
MOBILE, AL 36604
Mobile County (251) 434-3480
ROBERT LAMAR DUFFY M.D.
Family Medicine
1504 SPRINGHILL AVE
MOBILE, AL 36604
Mobile County (251) 434-3475
MURALI AALA BASAVRAJA REDDY M.D.
Student in an Organized Health Care Education/Training Program
1504 SPRINGHILL AVE
MOBILE, AL 36604
Mobile County (251) 434-3919
BETTY MADISON CRNP
Nurse Practitioner
1504 SPRINGHILL AVE, SUITE 1430
MOBILE, AL 36604
Mobile County (251) 405-5147
JANET A. RUSSELL CRNP
Nurse Practitioner
1504 SPRINGHILL AVE, SUITE 1800
MOBILE, AL 36604
Mobile County (251) 434-3475

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 Pon Trairatvorakul's NPI number?

The NPI number for Pon Trairatvorakul is 1194038067. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Pon Trairatvorakul located?

Pon Trairatvorakul practices at 1504 Springhill Ave Children's Medical Center, Mobile, AL 36604. The listed phone number is (251) 434-3915.

What is Pon Trairatvorakul's specialty?

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

Is Pon Trairatvorakul enrolled in Medicare?

Yes. Pon Trairatvorakul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pon Trairatvorakul was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.