SUPAKANYA WONGRAKPANICH M.D
NPI 1568877413
Internal Medicine in Loma Linda, CA

Q: What is Supakanya Wongrakpanich's NPI number?

The NPI number for Supakanya Wongrakpanich is 1568877413. It was assigned to this individual provider in the NPPES registry on June 29, 2014.

Q: What is Supakanya Wongrakpanich's specialty?

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

Active since June 29, 2014

85.18/100

CMS Quality Rating

25455 BARTON RD STE 204B, LOMA LINDA, CA 92354(909) 958-6600 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 11, 2017 (2 updates tracked since 2017).

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About Supakanya Wongrakpanich M.d NPPES

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

SUPAKANYA WONGRAKPANICH M.D (NPI 1568877413) is an individual internal medicine provider in Loma Linda, California, licensed in California (A153678) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1568877413

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUPAKANYA WONGRAKPANICHCredential: M.D

Location Address25455 BARTON RD STE 204BLoma Linda, CA 92354-3130

Mailing AddressFile # 54701Los Angeles, CA 90074-4701 · (909) 651-4300

Phone(909) 958-6600

Sole ProprietorNo

Enumeration DateJune 29, 2014

Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration

NPPES CertifiedMarch 15, 2022

✔ NPI 1568877413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · A153678✔ Licensed in PA · MT206363

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.

25455 BARTON RD STE 204B, Loma Linda, CA 92354

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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.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.81

Promoting Interoperability

Improvement Activities

Cost

64.54

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

92%61 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

ECLER ERCOLE JAQUA M.D.

Family Medicine (Geriatric Medicine)