MR. PARKPOOM PHATHARACHARUKUL M.D.
NPI 1205254547
Internal Medicine - Gastroenterology in St Louis Park, MN

Q: What is Parkpoom Phatharacharukul's NPI number?

The NPI number for Parkpoom Phatharacharukul is 1205254547. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Parkpoom Phatharacharukul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment

76.69/100

CMS Quality Rating

6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-3240 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Jul 21, 2022, Jul 29, 2020 and 3 more (6 updates tracked since 2017).

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About Mr. Parkpoom Phatharacharukul M.d. NPPES

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

MR. PARKPOOM PHATHARACHARUKUL M.D. (NPI 1205254547) is an individual gastroenterology provider in St Louis Park, Minnesota, licensed in Minnesota (72751) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205254547

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMR. PARKPOOM PHATHARACHARUKULCredential: M.D.

Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426-4702

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-3240

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 3, 2014

Last NPPES UpdateOctober 20, 20236 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1205254547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in MN · 72751✔ Licensed in SD · 11709

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6500 EXCELSIOR BLVD, St Louis Park, MN 55426

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Mr. Parkpoom Phatharacharukul 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.

PECOS PAC ID1153628516

PECOS Enrollment IDI20231101002477

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 12

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.

Injection, midazolam hydrochloride, per 1 mg J2250

Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).

249 services59 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

63 services62 patients

51 services51 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

49 services49 patients

Injection, fentanyl citrate, 0.1 mg J3010

Fentanyl citrate is a potent pain medication administered via injection. The 0.1 mg dosage is used to manage severe pain conditions. It works by blocking pain signals to the brain. It's crucial to follow the dosage instructions to prevent potential side effects.

45 services45 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

35 services35 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

29 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services28 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

21 services19 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services13 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

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.

NANCY COLE NELSON M.D.

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

DR. KATIE LYNN ANDRINAS MD, MPH

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

CARA HOULE MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5000

JANET GRAYSON MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6600

JEFFREY J SHULTZ

Internal Medicine (Cardiovascular Disease)

6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3246

MARY BETH JOHNSON OTR/L

Occupational Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6087

MARY KATHERINE KOSANDA P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6014

JENNIFER A DEUTZ P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5900

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 Parkpoom Phatharacharukul's NPI number?

The NPI number for Parkpoom Phatharacharukul is 1205254547. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Parkpoom Phatharacharukul located?

Parkpoom Phatharacharukul practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-3240.

What is Parkpoom Phatharacharukul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Parkpoom Phatharacharukul enrolled in Medicare?

Yes. Parkpoom Phatharacharukul 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.

What insurance does Parkpoom Phatharacharukul accept?

Health plans from HealthPartners and Medica list Parkpoom Phatharacharukul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Parkpoom Phatharacharukul affiliated with any hospitals?

According to CMS data, Parkpoom Phatharacharukul is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Parkpoom Phatharacharukul was last updated on October 20, 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.