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BOONPHIPHOP BOONPHENG M.D.
NPI 1659723104
Internal Medicine - Nephrology in Cookeville, TN

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
117 N HICKORY AVE STE 200, COOKEVILLE, TN 38501(931) 646-0880(866) 834-5618 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boonphiphop Boonpheng M.d. NPPES

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

BOONPHIPHOP BOONPHENG M.D. (NPI 1659723104) is an individual nephrology provider in Cookeville, Tennessee, licensed in Tennessee (64918) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1659723104
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameBOONPHIPHOP BOONPHENGCredential: M.D.
Location Address117 N HICKORY AVE STE 200Cookeville, TN 38501-2424
Mailing Address117 N Hickory Ave Ste 200Cookeville, TN 38501-2424 · (931) 646-0880 · Fax (866) 834-5618
Phone(931) 646-0880
Fax(866) 834-5618
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 8, 2016
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1659723104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · 64918
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
117 N HICKORY AVE STE 200, Cookeville, TN 38501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Boonphiphop Boonpheng M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800270414
PECOS Enrollment IDI20240917000625
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

TYLER CADE YORK FNP
Nurse Practitioner (Family)
117 N HICKORY AVE STE 200
COOKEVILLE, TN 38501
Putnam County (931) 646-0880
MRS. ANJU MENDIRATTA MD
Internal Medicine (Nephrology)
117 N HICKORY AVE STE 200
COOKEVILLE, TN 38501
Putnam County (931) 646-0880
CUMBERLAND KIDNEY SPECIALIST
Internal Medicine (Nephrology)
117 N HICKORY AVE STE 200
COOKEVILLE, TN 38501
Putnam County (931) 646-0880

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 Boonphiphop Boonpheng's NPI number?

The NPI number for Boonphiphop Boonpheng is 1659723104. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Boonphiphop Boonpheng located?

Boonphiphop Boonpheng practices at 117 N Hickory Ave Ste 200, Cookeville, TN 38501. The listed phone number is (931) 646-0880.

What is Boonphiphop Boonpheng's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Boonphiphop Boonpheng enrolled in Medicare?

Yes. Boonphiphop Boonpheng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Boonphiphop Boonpheng accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Boonphiphop Boonpheng as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Boonphiphop Boonpheng affiliated with any hospitals?

According to CMS data, Boonphiphop Boonpheng is affiliated with Parma Community General Hospital, Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Boonphiphop Boonpheng was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.