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MONTHA SUPHANGUL M.D.
NPI 1548424229
Internal Medicine in Evanston, IL

Active since July 11, 2008PECOS Enrolled
355 RIDGE AVE, EVANSTON, IL 60202(847) 316-4000 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montha Suphangul M.d. NPPES

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

MONTHA SUPHANGUL M.D. (NPI 1548424229) is an individual internal medicine provider in Evanston, Illinois, licensed in Illinois (125052160) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548424229
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONTHA SUPHANGULCredential: M.D.
Location Address355 RIDGE AVEEvanston, IL 60202-3328
Mailing Address429 Custer Ave Apt 2gEvanston, IL 60202-2975 · (773) 273-5968
Phone(847) 316-4000
Sole ProprietorYes
Enumeration DateJuly 11, 2008
✔ NPI 1548424229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125052160
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
355 RIDGE AVE, Evanston, IL 60202
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Other Identifiers 1

OtherXOF839694314IL · Bluecross Blueshield Ppo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montha Suphangul 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 60202 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

VIRAJA ALLURI MD
Internal Medicine
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
CONSULTANT RADIOLOGISTS OF EVANSTON, S.C.
Radiology (Diagnostic Radiology)
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-6101
JONGGI CHOI
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE, DEPARTMENT OF MEDICINE
EVANSTON, IL 60202
Cook County (847) 316-4000
CELINA CHIODO
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
HIBA MAGBOUL MD
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
DUNCAN F MACINTYRE
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (773) 942-3921
SUJIT KUMAR DARNAL
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
PRESENCE CHICAGO HOSPITALS NETWORK
General Acute Care Hospital
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-2329

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 Montha Suphangul's NPI number?

The NPI number for Montha Suphangul is 1548424229. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Montha Suphangul located?

Montha Suphangul practices at 355 Ridge Ave, Evanston, IL 60202. The listed phone number is (847) 316-4000.

What is Montha Suphangul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Montha Suphangul enrolled in Medicare?

Yes. Montha Suphangul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Montha Suphangul was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.