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DR. NIKOM UDOMPHONKUL MD
NPI 1598849192
Internal Medicine in Gridley, CA

Active since October 24, 2006PECOS Enrolled
284 SPRUCE ST, GRIDLEY, CA 95948(530) 846-9035(530) 846-9075 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nikom Udomphonkul Md NPPES

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

DR. NIKOM UDOMPHONKUL MD (NPI 1598849192) is an individual internal medicine provider in Gridley, California, licensed in California (A34194) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598849192
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIKOM UDOMPHONKULCredential: MD
Location Address284 SPRUCE STGridley, CA 95948-2216
Mailing AddressPo Box 947Gridley, CA 95948 · (530) 846-3604 · Fax (530) 846-2108
Phone(530) 846-9035
Fax(530) 846-9075
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateFebruary 23, 2016
✔ NPI 1598849192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A34194
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.
284 SPRUCE ST, Gridley, CA 95948
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Other Identifiers 3

Medicaid00A34194CA
Medicare ID-Type UnspecifiedZZZ86416ZCA
Medicare UPINA27409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nikom Udomphonkul Md 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 95948 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 7

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

ORCHARD HOSPITAL
Clinic/Center (Rural Health)
284 SPRUCE ST
GRIDLEY, CA 95948
Butte County (530) 846-9080
ORCHARD HOSPITAL
Clinic/Center (Rural Health)
284 SPRUCE ST
GRIDLEY, CA 95948
Butte County (530) 846-9000
GABRIELLE TURCOTTE
Physical Therapist
284 SPRUCE ST
GRIDLEY, CA 95948
Butte County (530) 846-9080
MR. THOMAS ARTHUR DEVINE FNP
Nurse Practitioner (Family)
284 SPRUCE ST
GRIDLEY, CA 95948
Butte County (530) 846-9080
MILTON STANLEY DHAS
Occupational Therapist
284 SPRUCE ST
GRIDLEY, CA 95948
Butte County (530) 846-9090
MRS. CAITLIN DUNCKEL FNP
Nurse Practitioner (Family)
284 SPRUCE ST
GRIDLEY, CA 95948
Butte County (530) 846-9080
ORCHARD GRIDLEY HOSPITAL INC
Clinic/Center (Rural Health)
284 SPRUCE ST
GRIDLEY, CA 95948
Butte County (530) 846-9000

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 Nikom Udomphonkul's NPI number?

The NPI number for Nikom Udomphonkul is 1598849192. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Nikom Udomphonkul located?

Nikom Udomphonkul practices at 284 Spruce St, Gridley, CA 95948. The listed phone number is (530) 846-9035.

What is Nikom Udomphonkul's specialty?

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

Is Nikom Udomphonkul enrolled in Medicare?

Yes. Nikom Udomphonkul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikom Udomphonkul was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.