DR. SUARTCHA PRUEKSARITANOND M.D.
NPI 1306129663
Internal Medicine - Cardiovascular Disease in Seattle, WA

Active since September 23, 2011PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 520-5000 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2022, Jan 25, 2022, Aug 10, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Suartcha Prueksaritanond M.d. NPPES

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

DR. SUARTCHA PRUEKSARITANOND M.D. (NPI 1306129663) is an individual cardiovascular disease provider in Seattle, Washington, licensed in Washington (MD61139946) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306129663
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUARTCHA PRUEKSARITANONDCredential: M.D.
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 23, 2011
Last NPPES UpdateAugust 15, 20225 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1306129663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in WA · MD61139946✔ Licensed in OR · MD205898
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036134083 (IL)
1959 NE PACIFIC ST, Seattle, WA 98195

Other Identifiers 1

Medicaid1306129663WA

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

Dr. Suartcha Prueksaritanond 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 ID4284852146
PECOS Enrollment IDI20190822000024, I20220823000225
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

4

Medicare enrollment records show Suartcha Prueksaritanond reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
Family Medicine
222 STATE AVE N
Kent, WA 98030
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
Critical Care Medicine
77 N AIRLITE ST
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • 99 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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
119 services59 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
43 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Presence Mercy Medical Center

Acute Care Hospitals · Aurora, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140174
Location1325 N Highland AvenueAurora, IL 60506 · Kane County
Emergency services Birthing friendly

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Suartcha Prueksaritanond's NPI number?

The NPI number for Suartcha Prueksaritanond is 1306129663. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Where is Suartcha Prueksaritanond located?

Suartcha Prueksaritanond practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 520-5000.

What is Suartcha Prueksaritanond's specialty?

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

Is Suartcha Prueksaritanond enrolled in Medicare?

Yes. Suartcha Prueksaritanond 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 Suartcha Prueksaritanond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suartcha Prueksaritanond reassigns Medicare benefits to 4 organizations: The Association Of University Physicians (Seattle, WA), Multicare Health System (Kent, WA), Providence Health & Services - Oregon (Portland, OR) and Cep America Illinois Intensivists (Elgin, IL). 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 Suartcha Prueksaritanond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suartcha Prueksaritanond accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Suartcha Prueksaritanond 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 Suartcha Prueksaritanond affiliated with any hospitals?

According to CMS data, Suartcha Prueksaritanond is affiliated with Presence St Marys Hospital, Presence Mercy Medical Center and Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Suartcha Prueksaritanond was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.