DR. TINA PATTARA-LAU M.D.
NPI 1467748319
Obstetrics & Gynecology in Phoenix, AZ

Q: What is Tina Pattara-lau's NPI number?

The NPI number for Tina Pattara-lau is 1467748319. It was assigned to this individual provider in the NPPES registry on June 20, 2011. The provider is also known as Dr. Tina Pattaratornkosohn M.D..

Q: What is Tina Pattara-lau's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Pattara-lau was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 20, 2011PECOS Enrolled

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tina Pattara-lau M.d. NPPES

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

DR. TINA PATTARA-LAU M.D. (NPI 1467748319) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in California (A122780) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467748319

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. TINA PATTARA-LAUCredential: M.D.

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1200

Phone(602) 263-1200

Sole ProprietorNo

Enumeration DateJune 20, 2011

Last NPPES UpdateApril 17, 2019

✔ NPI 1467748319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A122780

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4212 N 16TH ST, Phoenix, AZ 85016

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Other Names 1

Other Name (5)Dr. Tina Pattaratornkosohn M.d.

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. Tina Pattara-lau M.d. 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 85016 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)