1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

POOTIPONG WONGVEERASIN M.D.
NPI 1487454930
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 14, 2025PECOS Enrolled
715 ALBANY ST, FGH-3007, BOSTON, MA 02118(617) 638-6610(617) 638-6616 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pootipong Wongveerasin M.d. NPPES

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

POOTIPONG WONGVEERASIN M.D. (NPI 1487454930) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487454930
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePOOTIPONG WONGVEERASINCredential: M.D.
Location Address715 ALBANY ST, FGH-3007Boston, MA 02118
Mailing Address715 Albany St, Fgh-3007Boston, MA 02118 · (617) 638-6610 · Fax (617) 638-6616
Phone(617) 638-6610
Fax(617) 638-6616
Sole ProprietorNo
Enumeration DateMarch 14, 2025
Last NPPES UpdateAugust 28, 2025
✔ NPI 1487454930 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.
715 ALBANY ST, Boston, MA 02118
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 (PECOS)

Pootipong Wongveerasin 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 16

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

BUCK WOO PHD
Clinical Neuropsychologist
715 ALBANY ST, F BLDG, REHAB MED
BOSTON, MA 02118
Suffolk County (617) 414-2000
DR. HOWARD KYONGJU KOH MD MPH
Dermatology
715 ALBANY ST, J-100
BOSTON, MA 02118
Suffolk County (617) 638-5500
COLLEEN MELISSA KEYES M.D., M.P.H.
Internal Medicine (Pulmonary Disease)
715 ALBANY ST, PULMONARY CENTER, R304, BOSTON UNIVERSITY SCHOOL OF MED
BOSTON, MA 02118
Suffolk County (617) 638-4860
VANESSA FERRE
Student in an Organized Health Care Education/Training Program
715 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 638-8000
MS. ERIN LYNN LINNENBRINGER M.S.
Genetic Counselor, MS
715 ALBANY ST, B-7800
BOSTON, MA 02118
Suffolk County (617) 638-5355
PAUL KAUFMAN M.D.
Psychiatry & Neurology (Psychiatry)
715 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 638-8544
DR. RICHARD HEPWORTH MYERS PHD
Psychologist (Clinical)
715 ALBANY ST, E304
BOSTON, MA 02118
Suffolk County (617) 638-5376
RACHEL J LEVY PSY.D.
Psychologist
715 ALBANY ST, SUITE B2903
BOSTON, MA 02118
Suffolk County (617) 414-2321

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 Pootipong Wongveerasin's NPI number?

The NPI number for Pootipong Wongveerasin is 1487454930. It was assigned to this individual provider in the NPPES registry on March 14, 2025.

Where is Pootipong Wongveerasin located?

Pootipong Wongveerasin practices at 715 Albany St Fgh-3007, Boston, MA 02118. The listed phone number is (617) 638-6610.

What is Pootipong Wongveerasin's specialty?

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

Is Pootipong Wongveerasin enrolled in Medicare?

Yes. Pootipong Wongveerasin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pootipong Wongveerasin was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.