THEERARAT THANAVARO
NPI 1265823074
Nurse Practitioner - Adult Health in Parkville, MD

Active since February 16, 2015PECOS EnrolledAccepts Medicare Assignment
9512 HARFORD RD, PARKVILLE, MD 21234(410) 665-4400 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theerarat Thanavaro NPPES

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

THEERARAT THANAVARO (NPI 1265823074) is an individual adult health provider in Parkville, Maryland, licensed in Missouri (2014015283) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Lake St Louis.

NPPES Registry Identity

NPI1265823074
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHEERARAT THANAVARO
Location Address9512 HARFORD RDParkville, MD 21234-3100
Mailing Address421 Matts WayDefiance, MO 63341-2524
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 16, 2015
Last NPPES UpdateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
NPI 1265823074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 2014015283
9512 HARFORD RD, Parkville, MD 21234

Secondary Practice Location 1

Location 1300 Medical Plz Ste 150Lake St Louis, MO 63367-1483 · Phone (636) 625-2662

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theerarat Thanavaro 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 ID9739494923
PECOS Enrollment IDI20170324000378
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.

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.

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.
408 services241 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.
248 services146 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
218 services143 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21234 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
9512 HARFORD RD
BALTIMORE, MD 21234
Physical Therapist
9512 HARFORD RD, SUITE 3
BALTIMORE, MD 21234
Internal Medicine
9512 HARFORD RD
BALTIMORE, MD 21234
Pediatrics
9512 HARFORD RD, SUITE 201
BALTIMORE, MD 21234
Clinic/Center (Ophthalmologic Surgery)
9512 HARFORD RD, SUITE 5
BALTIMORE, MD 21234
Nurse Practitioner (Adult Health)
9512 HARFORD RD
BALTIMORE, MD 21234
Specialist/Technologist (Athletic Trainer)
9512 HARFORD RD
PARKVILLE, MD 21234
Ophthalmology
9512 HARFORD RD, SUITE 201
BALTIMORE, MD 21234

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 Theerarat Thanavaro's NPI number?

The NPI number for Theerarat Thanavaro is 1265823074. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Theerarat Thanavaro located?

Theerarat Thanavaro practices at 9512 Harford Rd, Parkville, MD 21234. The listed phone number is (410) 665-4400.

What is Theerarat Thanavaro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theerarat Thanavaro enrolled in Medicare?

Yes. Theerarat Thanavaro 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.

What insurance does Theerarat Thanavaro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Theerarat Thanavaro 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 Theerarat Thanavaro affiliated with any hospitals?

According to CMS data, Theerarat Thanavaro is affiliated with Ssm St Joseph Health Center, Ssm Health Depaul Hospital St Louis and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Theerarat Thanavaro was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.