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HURSUONG VONGSACHANG MD
NPI 1245700202
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since December 03, 2018PECOS Enrolled
243 CHARLES ST, BOSTON, MA 02114(617) 573-3966 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 6, 2022, Dec 3, 2018 (2 updates tracked since 2018).

About Hursuong Vongsachang Md NPPES

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

HURSUONG VONGSACHANG MD (NPI 1245700202) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (293334) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2022).

NPPES Registry Identity

NPI1245700202
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHURSUONG VONGSACHANGCredential: MD
Location Address243 CHARLES STBoston, MA 02114-3096
Mailing Address243 Charles StBoston, MA 02114-3096 · (617) 573-3966
Phone(617) 573-3966
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2022
Enumeration DateDecember 3, 2018
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1245700202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 293334
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 1026356 (MA)
243 CHARLES ST, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hursuong Vongsachang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931580164
PECOS Enrollment IDI20260624002496
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.

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.

CARLA PETERSEN AU.D., CCC-A
Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 573-3266
DR. SULEMAN IMRAN KHAN MD
Ophthalmology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-4443
DR. RYAN CARLSON MD PHD
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 523-7900
MASSACHUSETTS EYE AND EAR INFIRMARY
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3182
DANIEL ROBERT LEFEBVRE M.D.
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Suffolk County (617) 523-7900
ELLIOTT D. KOZIN MD
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-6545
DR. LUCIA K SOMBERG MD, MPH
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3431
MS. JANET ENGLISH HUETTIG LICSW
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3548

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 Hursuong Vongsachang's NPI number?

The NPI number for Hursuong Vongsachang is 1245700202. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Hursuong Vongsachang located?

Hursuong Vongsachang practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-3966.

What is Hursuong Vongsachang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hursuong Vongsachang enrolled in Medicare?

Yes. Hursuong Vongsachang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hursuong Vongsachang was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.