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DR. SUPOJ TANCHAJJA MD
NPI 1245225549
Surgery in Brooklyn, NY

Active since September 13, 2005PECOS Enrolled
338 COURT ST, BROOKLYN, NY 11231(718) 748-4603(718) 625-3189 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Supoj Tanchajja Md NPPES

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

DR. SUPOJ TANCHAJJA MD (NPI 1245225549) is an individual surgery provider in Brooklyn, New York, licensed in New York (NY129075) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245225549
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SUPOJ TANCHAJJACredential: MD
Location Address338 COURT STBrooklyn, NY 11231-4334
Mailing Address239 82nd StBrooklyn, NY 11209-3810 · (718) 748-4603
Phone(718) 748-4603
Fax(718) 625-3189
Sole ProprietorYes
Enumeration DateSeptember 13, 2005
Last NPPES UpdateAugust 18, 2016
✔ NPI 1245225549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · NY129075
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License NY129075 (NY)
338 COURT ST, Brooklyn, NY 11231
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Other Identifiers 3

Medicaid00487449NY
Medicare UPINB12674
Medicare PIN31A032NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Supoj Tanchajja Md 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.

Medicare Billing Reassignments

2

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

Maimonides Faculty Practice Plan
3.0 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Maimonides Medical Center General Surgery Fpp
3.0 mi
Surgery
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1235386905 (718) 283-8773

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11231 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Supoj Tanchajja's NPI number?

The NPI number for Supoj Tanchajja is 1245225549. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Supoj Tanchajja located?

Supoj Tanchajja practices at 338 Court St, Brooklyn, NY 11231. The listed phone number is (718) 748-4603.

What is Supoj Tanchajja's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Supoj Tanchajja enrolled in Medicare?

Yes. Supoj Tanchajja is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Supoj Tanchajja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supoj Tanchajja reassigns Medicare benefits to 2 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY) and Maimonides Medical Center General Surgery Fpp (Brooklyn, NY). 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 Supoj Tanchajja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Supoj Tanchajja was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.