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SIRIWAN MINGBUNJERDSUK M.D.
NPI 1578730073
Pediatrics in Carmichael, CA

Active since May 13, 2008PECOS Enrolled
6555 COYLE AVE STE 310, CARMICHAEL, CA 95608(916) 965-4612 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Siriwan Mingbunjerdsuk M.d. NPPES

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

SIRIWAN MINGBUNJERDSUK M.D. (NPI 1578730073) is an individual pediatrics provider in Carmichael, California, licensed in Michigan (4301095528) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578730073
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSIRIWAN MINGBUNJERDSUKCredential: M.D.
Location Address6555 COYLE AVE STE 310Carmichael, CA 95608-0303
Mailing Address4029 Mcclain Way Apt 45Carmichael, CA 95608-2485 · (989) 370-1206
Phone(916) 965-4612
Sole ProprietorNo
Enumeration DateMay 13, 2008
Last NPPES UpdateDecember 17, 2021
✔ NPI 1578730073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MI · 4301095528✔ Licensed in CA · A124849
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.
6555 COYLE AVE STE 310, Carmichael, CA 95608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siriwan Mingbunjerdsuk 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.

Medicare Billing Reassignment

Medicare enrollment records show Siriwan Mingbunjerdsuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
45 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $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 3

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

DR. JEANNIE URQUICO VISTA M.D.
Pediatrics
6555 COYLE AVE STE 310
CARMICHAEL, CA 95608
Sacramento County (916) 965-4612
ROBERT CASEY ALAN FINCH MD
Pediatrics
6555 COYLE AVE STE 310
CARMICHAEL, CA 95608
Sacramento County (916) 965-4612
MRS. APRIL MICHELLE EKES PPCNP-BC
Nurse Practitioner (Pediatrics)
6555 COYLE AVE STE 310
CARMICHAEL, CA 95608
Sacramento County (916) 965-4612

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 Siriwan Mingbunjerdsuk's NPI number?

The NPI number for Siriwan Mingbunjerdsuk is 1578730073. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Siriwan Mingbunjerdsuk located?

Siriwan Mingbunjerdsuk practices at 6555 Coyle Ave Ste 310, Carmichael, CA 95608. The listed phone number is (916) 965-4612.

What is Siriwan Mingbunjerdsuk's specialty?

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

Is Siriwan Mingbunjerdsuk enrolled in Medicare?

Yes. Siriwan Mingbunjerdsuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Siriwan Mingbunjerdsuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siriwan Mingbunjerdsuk reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siriwan Mingbunjerdsuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Siriwan Mingbunjerdsuk was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.