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

Q: 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.

Q: What is Boonphiphop Boonpheng's specialty?

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

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: October 25, 2026.

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Boonphiphop Boonpheng reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cumberland Kidney Specialist

Same address

Nephrology

117 N HICKORY AVE STE 200
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
7 clinicians in this Medicare group

NPI 1922248756 (931) 646-0880

Partners In Nephrology Care Ltd.

423 mi

Nephrology

18720 CHAGRIN BLVD
Shaker Heights, OH 44122

Reassigned Medicare billing, Ohio enrollment
30 clinicians in this Medicare group

NPI 1467509893 (216) 295-7003

University Hospitals Medical Group Inc

424 mi

Multi-Specialty

11100 EUCLID AVE
Cleveland, OH 44106

Reassigned Medicare billing, Ohio enrollment
3,958 clinicians in this Medicare group

NPI 1669499414 (216) 844-1000

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

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 4

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360078

Location6847 N ChestnutRavenna, OH 44266 · Portage County

Emergency services

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.

Which organizations bill Medicare for Boonphiphop Boonpheng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boonphiphop Boonpheng reassigns Medicare benefits to 3 organizations: Cumberland Kidney Specialist (Cookeville, TN), Partners In Nephrology Care Ltd. (Shaker Heights, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each 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 Boonphiphop Boonpheng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Boonphiphop Boonpheng accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare 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, University Hospitals Portage Medical Center, 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 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.