BERT MEKPONGSATORN
NPI 1356633374
Nurse Anesthetist, Certified Registered in Studio City, CA
About Bert Mekpongsatorn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERT MEKPONGSATORN (NPI 1356633374) is an individual nurse anesthetist, certified registered in Studio City, California, licensed in California (4101) and active in the NPI registry since May 2011. He is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Bert Mekpongsatorn 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 Reassignments
2Medicare enrollment records show Bert Mekpongsatorn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynwood, CA 90262
- Reassigned Medicare billing, California enrollment
- 83 clinicians in this Medicare group
Santa Ana, CA 92705
- Reassigned Medicare billing, California enrollment
- 31 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Bert Mekpongsatorn's NPI number?
The NPI number for Bert Mekpongsatorn is 1356633374. It was assigned to this individual provider in the NPPES registry on May 10, 2011.
Where is Bert Mekpongsatorn located?
Bert Mekpongsatorn practices at 13012 Valleyheart Dr 1, Studio City, CA 91604. The listed phone number is (818) 674-0732.
What is Bert Mekpongsatorn's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Bert Mekpongsatorn enrolled in Medicare?
Yes. Bert Mekpongsatorn 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 Bert Mekpongsatorn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bert Mekpongsatorn reassigns Medicare benefits to 2 organizations: Landmark Anesthesia Medical Group (Lynwood, CA) and Anesthesia Associates Of Southern California PC (Santa Ana, CA). 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 Bert Mekpongsatorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bert Mekpongsatorn was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Bert Mekpongsatorn · NPI 1356633374
Nurse Anesthetist, Certified Registered physician in Studio City, California. Individual provider, active in the CMS NPPES registry since May 10, 2011.
## Identity
- **NPI:** 1356633374 (Entity type: Individual)
- **Enumerated:** May 10, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4101 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13012 VALLEYHEART DR, 1, Studio City, CA 91604-1975
- **Phone:** (818) 674-0732
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Landmark Anesthesia Medical Group (NPI 1770035024, Lynwood, CA); Anesthesia Associates Of Southern California PC (NPI 1437013836, Santa Ana, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 28, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1356633374) · Data from the CMS NPPES public registry.