MATTANA PHAYUNGPONG MD
NPI 1245970326
Family Medicine in Corpus Christi, TX
About Mattana Phayungpong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTANA PHAYUNGPONG MD (NPI 1245970326) is an individual family medicine provider in Corpus Christi, Texas, licensed in Texas (W3595) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Mattana Phayungpong 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.
Medicare Billing Reassignment
Medicare enrollment records show Mattana Phayungpong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 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.
Christus Spohn Hospital Corpus Christi
Acute Care Hospitals · Corpus Christi, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CORPUS CHRISTI, TX 78405
CORPUS CHRISTI, TX 78405
CORPUS CHRISTI, TX 78405
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 Mattana Phayungpong's NPI number?
The NPI number for Mattana Phayungpong is 1245970326. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is Mattana Phayungpong located?
Mattana Phayungpong practices at 2606 Hospital Blvd, Corpus Christi, TX 78405. The listed phone number is (361) 902-4789.
What is Mattana Phayungpong's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mattana Phayungpong enrolled in Medicare?
Yes. Mattana Phayungpong 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 Mattana Phayungpong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mattana Phayungpong reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). 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 Mattana Phayungpong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mattana Phayungpong accept?
Health plans from Blue Cross and Blue Shield of Texas list Mattana Phayungpong 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 Mattana Phayungpong affiliated with any hospitals?
According to CMS data, Mattana Phayungpong is affiliated with Christus Spohn Hospital Corpus Christi.
When was this NPI record last updated?
The NPPES record for Mattana Phayungpong was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Mattana Phayungpong, MD · NPI 1245970326
Family Medicine physician in Corpus Christi, Texas. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1245970326 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** W3595 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2606 HOSPITAL BLVD, Corpus Christi, TX 78405-1833
- **Phone:** (361) 902-4789
## 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:** Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245970326) · Data from the CMS NPPES public registry.