PEACH SUPUPRAMAI DO
NPI 1235766296
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL
About Peach Supupramai Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACH SUPUPRAMAI DO (NPI 1235766296) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Peach Supupramai Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Peach Supupramai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ft. Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 393 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital
Acute Care Hospitals · Fort Lauderdale, FLBroward Health Imperial Point
Acute Care Hospitals · Fort Lauderdale, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
FT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
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 Peach Supupramai's NPI number?
The NPI number for Peach Supupramai is 1235766296. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Peach Supupramai located?
Peach Supupramai practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4400.
What is Peach Supupramai's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Peach Supupramai enrolled in Medicare?
Yes. Peach Supupramai 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 organization bills Medicare for Peach Supupramai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peach Supupramai reassigns Medicare benefits to Holy Cross Hospital Inc (Ft. Lauderdale, FL). The 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 Peach Supupramai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peach Supupramai accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Peach Supupramai 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 Peach Supupramai affiliated with any hospitals?
According to CMS data, Peach Supupramai is affiliated with Holy Cross Hospital and Broward Health Imperial Point.
When was this NPI record last updated?
The NPPES record for Peach Supupramai was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Peach Supupramai, DO · NPI 1235766296
Student in an Organized Health Care Education/Training Program provider in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1235766296 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 S ANDREWS AVE, Fort Lauderdale, FL 33316-2510
- **Phone:** (954) 355-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Holy Cross Hospital Inc (NPI 1467401877, Ft. Lauderdale, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235766296) · Data from the CMS NPPES public registry.