TANYARAT SUWANNETR
NPI 1538957469
Nurse Practitioner - Neonatal in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.

Active since April 29, 2025PECOS Enrolled

1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 947-8800 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tanyarat Suwannetr NPPES

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

TANYARAT SUWANNETR (NPI 1538957469) is an individual neonatal provider in Chicago, Illinois, licensed in Illinois (209.033384) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538957469

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameTANYARAT SUWANNETR

Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833

Mailing Address4730 N Troy StChicago, IL 60625-4423 · (773) 576-4231

Phone(312) 947-8800

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 29, 2025

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1538957469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in IL · 209.033384

1653 W CONGRESS PKWY, Chicago, IL 60612

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanyarat Suwannetr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082102165

PECOS Enrollment IDI20251021002998

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 60612 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.