PHEEM SOPONTAMMARAK MD
NPI 1659174092
Student in an Organized Health Care Education/Training Program in Sugar Land, TX

Q: What is Pheem Sopontammarak's NPI number?

The NPI number for Pheem Sopontammarak is 1659174092. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Pheem Sopontammarak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 31, 2025PECOS Enrolled

14023 SOUTHWEST FWY, SUGAR LAND, TX 77478(281) 325-4100(281) 325-4271 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Pheem Sopontammarak Md NPPES

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

PHEEM SOPONTAMMARAK MD (NPI 1659174092) is an individual student in an organized health care education/training program in Sugar Land, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659174092

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePHEEM SOPONTAMMARAKCredential: MD

Location Address14023 SOUTHWEST FWYSugar Land, TX 77478-3550

Mailing Address14023 Southwest FwySugar Land, TX 77478-3550 · (281) 325-4100 · Fax (281) 325-4271

Phone(281) 325-4100

Fax(281) 325-4271

Sole ProprietorNo

Enumeration DateMarch 31, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1659174092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14023 SOUTHWEST FWY, Sugar Land, TX 77478

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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)

Pheem Sopontammarak 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.

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.

MONICA KALRA DO

Family Medicine