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SUPHICHAYA MUANGMAN M.D.
NPI 1245398619
Internal Medicine - Cardiovascular Disease in Middlebury, CT

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
1625 STRAITS TPKE, SUITE 209, MIDDLEBURY, CT 06762(203) 758-9100(203) 758-9400 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Suphichaya Muangman M.d. NPPES

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

SUPHICHAYA MUANGMAN M.D. (NPI 1245398619) is an individual cardiovascular disease provider in Middlebury, Connecticut, licensed in Connecticut (043440) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1245398619
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSUPHICHAYA MUANGMANCredential: M.D.
Location Address1625 STRAITS TPKE, SUITE 209Middlebury, CT 06762-1836
Mailing Address1625 Straits Tpke, Suite 209Middlebury, CT 06762-1836 · (203) 758-9100 · Fax (203) 758-9400
Phone(203) 758-9100
Fax(203) 758-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 15, 2014
✔ NPI 1245398619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 043440
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1625 STRAITS TPKE, Middlebury, CT 06762
Open in Google Maps ↗

Other Identifiers 15

Other1105253CT · Usa
Medicare PIND400001151CT
Other7085716CT · Aetna
Other010043440CT02CT · Anthem Bcbs Ct
OtherP3941581CT · Oxford
Medicaid001434406CT
Medicare ID-Type Unspecified060001664CT
Medicaid001153600CT
OtherP00796456CT · Rr Medicare
Medicare UPIN130921CT
Other25-33213CT · Americhoice
Other3V0829CT · Healthnet/commercial
Other043440CT · Connecticare
Other25-33213CT · Uhc
Other518685CT · Wellcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Suphichaya Muangman 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 ID6709820004
PECOS Enrollment IDI20050617000167
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

3

Medicare enrollment records show Suphichaya Muangman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Naugatuck Valley Cardiovascular Associates
Same address
Cardiovascular Disease
1625 STRAITS TPKE, SUITE 209
Middlebury, CT 06762
  • Reassigned Medicare billing, Connecticut enrollment
  • 5 clinicians in this Medicare group
NPI 1881721900 (203) 758-9100
Prospect Waterbury, Inc.
1.8 mi
General Acute Care Hospital
64 ROBBINS ST
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group
NPI 1477902641 (203) 573-7280
Trinity Health Of New England Provider Network Organization Inc
26 mi
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325

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 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
394 services152 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
207 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
188 services93 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
180 services53 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
91 services91 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
68 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06762 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%164 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,678 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,859 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%374 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
83%315 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%816 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%816 patients2/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ELIZABETH MARIE LUCCHESI
Dentist (General Practice)
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-3889
DR. KWEKU G SAM JR. MD
Pediatrics
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 759-0666
JESSICA L MEGER MS, ATC, PA-C
Physician Assistant (Surgical)
1625 STRAITS TPKE, SUITE #211
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 573-9512
KAILYN SCHUSTER
Physical Therapist
1625 STRAITS TPKE, SUITE 303
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-0400
DR. JUAN DIEGO HOLGUIN MD
Surgery
1625 STRAITS TPKE, SUITE 200
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 568-2915
SHIRLEY Y SAMY APRN
Registered Nurse
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-8107
MR. HOWARD A SMITH PA-C
Physician Assistant (Medical)
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 759-0666
MS. STEPHANIE LAUREN GUNNOUD APRN
Nurse Practitioner
1625 STRAITS TPKE, SUITE 110
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-8107

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 Suphichaya Muangman's NPI number?

The NPI number for Suphichaya Muangman is 1245398619. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Suphichaya Muangman located?

Suphichaya Muangman practices at 1625 Straits Tpke Suite 209, Middlebury, CT 06762. The listed phone number is (203) 758-9100.

What is Suphichaya Muangman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Suphichaya Muangman enrolled in Medicare?

Yes. Suphichaya Muangman 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 Suphichaya Muangman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suphichaya Muangman reassigns Medicare benefits to 3 organizations: Naugatuck Valley Cardiovascular Associates (Middlebury, CT), Prospect Waterbury, Inc. (Waterbury, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). 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 Suphichaya Muangman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suphichaya Muangman accept?

Health plans from Anthem Blue Cross and Blue Shield list Suphichaya Muangman 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.

When was this NPI record last updated?

The NPPES record for Suphichaya Muangman was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.