DR. NIRANDON WONGSURAWAT MD
NPI 1376656116
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fenton, MO

Q: What is Nirandon Wongsurawat's NPI number?

The NPI number for Nirandon Wongsurawat is 1376656116. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Nirandon Wongsurawat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since August 16, 2006PECOS Enrolled

1015 BOWLES AVE, FENTON, MO 63026(636) 566-8155(314) 966-0323 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Nirandon Wongsurawat Md NPPES

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

DR. NIRANDON WONGSURAWAT MD (NPI 1376656116) is an individual endocrinology, diabetes & metabolism provider in Fenton, Missouri, licensed in Missouri (MD34919) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376656116

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. NIRANDON WONGSURAWATCredential: MD

Location Address1015 BOWLES AVEFenton, MO 63026-1530

Mailing Address1015 Bowles AveFenton, MO 63026-1530 · (636) 566-8155 · Fax (314) 966-0323

Phone(636) 566-8155

Fax(314) 966-0323

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateJune 29, 2010

✔ NPI 1376656116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MO · MD34919

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1015 BOWLES AVE, Fenton, MO 63026

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Other Identifiers 3

Medicare UPINH25211MO

Medicare ID-Type Unspecified000094948MO

Medicaid205205701MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nirandon Wongsurawat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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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.

DR. GLORIA YETUNDE OJERINDE MD

Internal Medicine