1. Home
  2. Directory
  3. Massachusetts
  4. Brockton
  5. Internal Medicine
  6. NPI Profile

TANIT PHUPITAKPHOL M.D.
NPI 1487005062
Internal Medicine - Infectious Disease in Brockton, MA

Active since June 25, 2016PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
130 QUINCY AVE, BROCKTON, MA 02302(508) 941-7268(508) 894-0412 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, Sep 8, 2025, Apr 4, 2024 and 3 more (6 updates tracked since 2016).

About Tanit Phupitakphol M.d. NPPES

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

TANIT PHUPITAKPHOL M.D. (NPI 1487005062) is an individual infectious disease provider in Brockton, Massachusetts, licensed in Utah (14235993-1205) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487005062
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameTANIT PHUPITAKPHOLCredential: M.D.
Location Address130 QUINCY AVEBrockton, MA 02302-2803
Mailing Address130 Quincy AveBrockton, MA 02302-2803 · (508) 941-7268 · Fax (508) 894-0412
Phone(508) 941-7268
Fax(508) 894-0412
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2016
Last NPPES UpdateMarch 11, 20266 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1487005062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in UT · 14235993-1205✔ Licensed in MA · 286943
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 286943 (MA)
130 QUINCY AVE, Brockton, MA 02302
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanit Phupitakphol M.d. 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 ID6305187519
PECOS Enrollment IDI20210702002467, I20251118004851
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services54 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
83 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02302 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.41
Promoting Interoperability100
Improvement Activities40
Cost72.68

Other Providers at the Same Location NPPES 19

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

AIDA MALLOUHI HANNA M.D..
Internal Medicine
130 QUINCY AVE
BROCKTON, MA 02302
Plymouth County (508) 941-7268
DR. KATIA CHRISTINE KORTE M.D.
Internal Medicine
130 QUINCY AVE
BROCKTON, MA 02302
Plymouth County (508) 941-7268
NINA LAM FNP
Nurse Practitioner (Family)
130 QUINCY AVE
BROCKTON, MA 02302
Plymouth County (508) 894-0412
DR. ENGEL BERTO BIDO SANTOS MD
Internal Medicine
130 QUINCY AVE
BROCKTON, MA 02302
Plymouth County (508) 941-7268
TAYLA MARIE MAGERMAN MS, RD, LDN
Dietitian, Registered
130 QUINCY AVE
BROCKTON, MA 02302
Plymouth County (508) 941-7280
FELIX U MAYERS M.D.
Internal Medicine
130 QUINCY AVE, BROCTON HOSPITAL
BROCKTON, MA 02302
Plymouth County (508) 941-7268
MAURICA SHERRARD WRIGHT RD
Dietitian, Registered
130 QUINCY AVE
BROCKTON, MA 02302
Plymouth County (508) 941-7250
SUSAN ZELENAK RDN
Dietitian, Registered
130 QUINCY AVE
BROCKTON, MA 02302
Plymouth County (508) 941-7250

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 Tanit Phupitakphol's NPI number?

The NPI number for Tanit Phupitakphol is 1487005062. It was assigned to this individual provider in the NPPES registry on June 25, 2016.

Where is Tanit Phupitakphol located?

Tanit Phupitakphol practices at 130 Quincy Ave, Brockton, MA 02302. The listed phone number is (508) 941-7268.

What is Tanit Phupitakphol's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Tanit Phupitakphol enrolled in Medicare?

Yes. Tanit Phupitakphol 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.

Is Tanit Phupitakphol affiliated with any hospitals?

According to CMS data, Tanit Phupitakphol is affiliated with Signature Healthcare Brockton Hospital and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Tanit Phupitakphol was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.