DR. PRAPHOPPHAT ADHATAMSOONTRA MD
NPI 1215426515
Internal Medicine in Washington, DC

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
900 23RD ST NW, WASHINGTON, DC 20037(202) 715-4000 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2021, Jul 9, 2021, May 2, 2018 (3 updates tracked since 2018).

About Dr. Praphopphat Adhatamsoontra Md NPPES

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

DR. PRAPHOPPHAT ADHATAMSOONTRA MD (NPI 1215426515) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD049265) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1215426515
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAPHOPPHAT ADHATAMSOONTRACredential: MD
Location Address900 23RD ST NWWashington, DC 20037-2342
Mailing Address225 I St Ne Apt 1006Washington, DC 20002-4550 · (301) 919-9696
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateMay 2, 2018
Last NPPES UpdateOctober 4, 20213 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1215426515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · MD049265
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
900 23RD ST NW, Washington, DC 20037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Praphopphat Adhatamsoontra 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 ID5597168252
PECOS Enrollment IDI20210720000181, I20260414001622
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Praphopphat Adhatamsoontra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Health Maintenance Organization
700 2ND ST NE
Washington, DC 20002
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1972275196 (Virginia)
  • 2,492 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Internal Medicine
900 23RD ST NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
900 23RD ST NW
WASHINGTON, DC 20037
Anesthesiology
900 23RD ST NW
WASHINGTON, DC 20037
Physician Assistant (Surgical)
900 23RD ST NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
900 23RD ST NW
WASHINGTON, DC 20037
Emergency Medicine
900 23RD ST NW
WASHINGTON, DC 20037
Physician Assistant
900 23RD ST NW
WASHINGTON, DC 20037
Physician Assistant
900 23RD ST NW
WASHINGTON, DC 20037

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 Praphopphat Adhatamsoontra's NPI number?

The NPI number for Praphopphat Adhatamsoontra is 1215426515. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Praphopphat Adhatamsoontra located?

Praphopphat Adhatamsoontra practices at 900 23rd St NW, Washington, DC 20037. The listed phone number is (202) 715-4000.

What is Praphopphat Adhatamsoontra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Praphopphat Adhatamsoontra enrolled in Medicare?

Yes. Praphopphat Adhatamsoontra 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.

Which organizations bill Medicare for Praphopphat Adhatamsoontra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praphopphat Adhatamsoontra reassigns Medicare benefits to 2 organizations: Medical Faculty Associates, Inc (Washington, DC) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Washington, DC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Praphopphat Adhatamsoontra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Praphopphat Adhatamsoontra affiliated with any hospitals?

According to CMS data, Praphopphat Adhatamsoontra is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Praphopphat Adhatamsoontra was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.