MELISSA CADNAPAPHORNCHAI MD
NPI 1477638112
Pediatrics - Pediatric Nephrology in San Antonio, TX

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2023, Feb 9, 2022 (2 updates tracked since 2022).

About Melissa Cadnapaphornchai Md NPPES

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

MELISSA CADNAPAPHORNCHAI MD (NPI 1477638112) is an individual pediatric nephrology provider in San Antonio, Texas, licensed in Texas (U5577) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Children's Hospital Of Philadelphia, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1477638112
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameMELISSA CADNAPAPHORNCHAICredential: MD
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address333 N Santa Rosa Ste 1135San Antonio, TX 78207-3108 · (210) 704-3342
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1993
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1477638112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses✔ Licensed in TX · U5577✔ Licensed in CO · 34574
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License U5577 (TX)
333 N SANTA ROSA, San Antonio, TX 78207

Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Other Identifiers 1

Medicaid01345743CO

Accepted 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

Melissa Cadnapaphornchai Md 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 ID1153514161
PECOS Enrollment IDI20250128001331
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

3

Medicare enrollment records show Melissa Cadnapaphornchai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
Pediatrics
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Health Care Associates Inc
  • 1,225 clinicians in this Medicare group
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 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.

Hospital Affiliations CMS Care Compare

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

Children's Hospital Of Philadelphia

Childrens · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number393303
Location3401 Civic Center BlvdPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207

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 Melissa Cadnapaphornchai's NPI number?

The NPI number for Melissa Cadnapaphornchai is 1477638112. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Melissa Cadnapaphornchai located?

Melissa Cadnapaphornchai practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-3030.

What is Melissa Cadnapaphornchai's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Melissa Cadnapaphornchai enrolled in Medicare?

Yes. Melissa Cadnapaphornchai 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 Melissa Cadnapaphornchai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Cadnapaphornchai reassigns Medicare benefits to 3 organizations: Baylor College Of Medicine (San Antonio, TX), Children's Health Care Associates (Philadelphia, PA) and Albany Medical College (Albany, NY). 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 Melissa Cadnapaphornchai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Cadnapaphornchai accept?

Health plans from Blue Cross and Blue Shield of Texas list Melissa Cadnapaphornchai 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 Melissa Cadnapaphornchai affiliated with any hospitals?

According to CMS data, Melissa Cadnapaphornchai is affiliated with Children's Hospital Of Philadelphia.

When was this NPI record last updated?

The NPPES record for Melissa Cadnapaphornchai was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.