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

Q: 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.

Q: What is Tanit Phupitakphol's specialty?

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

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: October 18, 2026.

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

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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 Northeastern Nevada Regional 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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

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.

Medicare Billing Reassignments

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

Signature Healthcare Medical Group Inc

4.2 mi

Internal Medicine

110 LIBERTY ST
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
409 clinicians in this Medicare group

NPI 1508804949 (508) 894-0400

University Of Utah Adult Services

2,098 mi

Orthopaedic Surgery

9385 S SNOWBIRD CENTER DR
Sandy, UT 84092

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1851904247 (801) 587-7109

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 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.

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290008

Location2001 Errecart BlvdElko, NV 89801 · Elko 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

Quality

75.41

Promoting Interoperability

100

Improvement Activities

Cost

72.68

Other Providers at the Same Location NPPES 17

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

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

SANDRA A AMBROSE NUTRITIONIST

Nutritionist (Nutrition, Education)

130 QUINCY AVE
BROCKTON, MA 02302

Plymouth County (508) 941-6412

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.

Which organizations bill Medicare for Tanit Phupitakphol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanit Phupitakphol reassigns Medicare benefits to 2 organizations: Signature Healthcare Medical Group Inc (Brockton, MA) and University Of Utah Adult Services (Sandy, UT). 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 Tanit Phupitakphol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanit Phupitakphol accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tanit Phupitakphol 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 Tanit Phupitakphol affiliated with any hospitals?

According to CMS data, Tanit Phupitakphol is affiliated with Northeastern Nevada Regional 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.