PAWEENA THOOPHOM M.D.
NPI 1487675526
Pediatrics in Enumclaw, WA

Q: What is Paweena Thoophom's NPI number?

The NPI number for Paweena Thoophom is 1487675526. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Paweena Thoophom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Paweena Thoophom was last updated on November 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2006PECOS Enrolled

3021 GRIFFIN AVE, ENUMCLAW, WA 98022(360) 825-6511(360) 825-6536 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Paweena Thoophom M.d. NPPES

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

PAWEENA THOOPHOM M.D. (NPI 1487675526) is an individual pediatrics provider in Enumclaw, Washington, licensed in Washington (MD00046037) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487675526

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NamePAWEENA THOOPHOMCredential: M.D.

Location Address3021 GRIFFIN AVEEnumclaw, WA 98022-2369

Mailing Address3021 Griffin AveEnumclaw, WA 98022-2369 · (360) 825-6511 · Fax (360) 825-6536

Phone(360) 825-6511

Fax(360) 825-6536

Sole ProprietorNo

Enumeration DateJuly 22, 2006

Last NPPES UpdateNovember 28, 2017

✔ NPI 1487675526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WA · MD00046037✔ Licensed in CA · A93951

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3021 GRIFFIN AVE, Enumclaw, WA 98022

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paweena Thoophom 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98022 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

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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.

KASHISH GOYAL

Family Medicine