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SUTASINEE NITHISOONTORN
NPI 1457921744
Family Medicine in Mercedes, TX

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
2810 W EXPRESSWAY 83, MERCEDES, TX 78570(616) 893-8475 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, Jul 1, 2021 (2 updates tracked since 2021).

About Sutasinee Nithisoontorn NPPES

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

SUTASINEE NITHISOONTORN (NPI 1457921744) is an individual family medicine provider in Mercedes, Texas, licensed in Texas (U8785) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Valley Baptist Medical Center- Brownsville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457921744
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUTASINEE NITHISOONTORN
Location Address2810 W EXPRESSWAY 83Mercedes, TX 78570-9704
Mailing Address2810 W Expressway 83Mercedes, TX 78570-9704 · (956) 296-1831
Phone(616) 893-8475
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 29, 2021
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1457921744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · U8785
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2810 W EXPRESSWAY 83, Mercedes, TX 78570
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.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

Sutasinee Nithisoontorn 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 ID5193164812
PECOS Enrollment IDI20240415001666
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

2

Medicare enrollment records show Sutasinee Nithisoontorn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arroyo Emergency Medicine Services, PA
15 mi
Emergency Medicine
1021 W INTERSTATE 2
Weslaco, TX 78596
  • Reassigned Medicare billing, Texas enrollment
  • 52 clinicians in this Medicare group
NPI 1215866066 (956) 969-7300
Travis County Emergency Physicians PA
285 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Baptist Medical Center- Brownsville

Acute Care Hospitals · Brownsville, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450028
Location1040 W Jefferson StBrownsville, TX 78520 · Cameron County
Emergency services Birthing friendly

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78570 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

OTHMAN HASAN OTHMAN FARAHNEH M.D.
Student in an Organized Health Care Education/Training Program
2810 W EXPRESSWAY 83
MERCEDES, TX 78570
Hidalgo County (956) 296-1916
OLUWATOBI OLONISAKIN MD
Student in an Organized Health Care Education/Training Program
2810 W EXPRESSWAY 83
MERCEDES, TX 78570
Hidalgo County (956) 296-1831
JESSICA PINO MD
Student in an Organized Health Care Education/Training Program
2810 W EXPRESSWAY 83
MERCEDES, TX 78570
Hidalgo County (956) 296-1831
ALEHLI SILGUERO DO
Student in an Organized Health Care Education/Training Program
2810 W EXPRESSWAY 83
MERCEDES, TX 78570
Hidalgo County (956) 296-1831
EZEQUIEL VELIZ CACERES
Student in an Organized Health Care Education/Training Program
2810 W EXPRESSWAY 83
MERCEDES, TX 78570
Hidalgo County (956) 296-1831
ALEJANDRO HERNANDEZ HERNANDEZ MD
Preventive Medicine (Undersea and Hyperbaric Medicine)
2810 W EXPRESSWAY 83
MERCEDES, TX 78570
Hidalgo County (956) 734-9067
VANESSA EPPS MD
Student in an Organized Health Care Education/Training Program
2810 W EXPRESSWAY 83
MERCEDES, TX 78570
Hidalgo County (956) 296-1831

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 Sutasinee Nithisoontorn's NPI number?

The NPI number for Sutasinee Nithisoontorn is 1457921744. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Sutasinee Nithisoontorn located?

Sutasinee Nithisoontorn practices at 2810 W Expressway 83, Mercedes, TX 78570. The listed phone number is (616) 893-8475.

What is Sutasinee Nithisoontorn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sutasinee Nithisoontorn enrolled in Medicare?

Yes. Sutasinee Nithisoontorn 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 Sutasinee Nithisoontorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sutasinee Nithisoontorn reassigns Medicare benefits to 2 organizations: Arroyo Emergency Medicine Services, PA (Weslaco, TX) and Travis County Emergency Physicians PA (Austin, TX). 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 Sutasinee Nithisoontorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sutasinee Nithisoontorn accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Sutasinee Nithisoontorn 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 Sutasinee Nithisoontorn affiliated with any hospitals?

According to CMS data, Sutasinee Nithisoontorn is affiliated with Valley Baptist Medical Center- Brownsville and Vhs Harlingen Hospital Company LLC.

When was this NPI record last updated?

The NPPES record for Sutasinee Nithisoontorn was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.