THEODORE INTHAPHOM
NPI 1689202475
Physician Assistant - Medical in Houston, TX

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6400 FANNIN ST STE 1700, HOUSTON, TX 77030(682) 554-4173 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Jul 22, 2022, Mar 29, 2020 (3 updates tracked since 2020).

About Theodore Inthaphom NPPES

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

THEODORE INTHAPHOM (NPI 1689202475) is an individual medical provider in Houston, Texas, licensed in Texas (PA13459) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689202475
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHEODORE INTHAPHOM
Location Address6400 FANNIN ST STE 1700Houston, TX 77030-1526
Mailing Address6400 Fannin St Ste 1700Houston, TX 77030-1526 · (682) 554-4173
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2020
Last NPPES UpdateAugust 4, 20223 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
NPI 1689202475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA13459
6400 FANNIN ST STE 1700, Houston, TX 77030

Accepted 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

Theodore Inthaphom 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 ID4082034905
PECOS Enrollment IDI20201015000185
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services52 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
39 services29 patients
X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
28 services18 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
19 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Orthopaedic Surgery (Sports Medicine)
6400 FANNIN ST STE 1700
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 1700
HOUSTON, TX 77030
Orthopaedic Surgery
6400 FANNIN ST STE 1700
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 1700
HOUSTON, TX 77030
Physician Assistant (Surgical)
6400 FANNIN ST STE 1700
HOUSTON, TX 77030
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
6400 FANNIN ST STE 1700
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 1700
HOUSTON, TX 77030
Orthopaedic Surgery (Sports Medicine)
6400 FANNIN ST STE 1700
HOUSTON, TX 77030

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 Theodore Inthaphom's NPI number?

The NPI number for Theodore Inthaphom is 1689202475. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Theodore Inthaphom located?

Theodore Inthaphom practices at 6400 Fannin St Ste 1700, Houston, TX 77030. The listed phone number is (682) 554-4173.

What is Theodore Inthaphom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theodore Inthaphom enrolled in Medicare?

Yes. Theodore Inthaphom 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 Theodore Inthaphom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Theodore Inthaphom 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 Theodore Inthaphom affiliated with any hospitals?

According to CMS data, Theodore Inthaphom is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital, Memorial Hermann Katy Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Inthaphom was last updated on August 4, 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.