MS. THEERADA ASSAWASAKSAKUL M.D.
NPI 1477310712
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Theerada Assawasaksakul's NPI number?

The NPI number for Theerada Assawasaksakul is 1477310712. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Q: What is Theerada Assawasaksakul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 04, 2024PECOS Enrolled

4940 EASTERN AVE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2024, Sep 5, 2024, Mar 4, 2024 (3 updates tracked since 2024).

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About Ms. Theerada Assawasaksakul M.d. NPPES

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

MS. THEERADA ASSAWASAKSAKUL M.D. (NPI 1477310712) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477310712

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. THEERADA ASSAWASAKSAKULCredential: M.D.

Location Address4940 EASTERN AVE, JOHNS HOPKINS BAYVIEW MEDICAL CENTERBaltimore, MD 21224

Mailing Address1800 Orleans Street, The Johns Hopkins HospitalBaltimore, MD 21287 · (410) 955-5000

Phone(410) 550-0100

Sole ProprietorNo

Enumeration DateMarch 4, 2024

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

✔ NPI 1477310712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4940 EASTERN AVE, Baltimore, MD 21224

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Theerada Assawasaksakul 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.

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. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology