SAM TONTHAT D.O.
NPI 1699139782
Internal Medicine - Nephrology in Fresno, CA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
155 N FRESNO ST, FRESNO, CA 93701(559) 499-6500 Get Directions Write a Review

NPPES record last updated: May 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam Tonthat D.o. NPPES

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

SAM TONTHAT D.O. (NPI 1699139782) is an individual nephrology provider in Fresno, California, licensed in California (20A15865) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699139782
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSAM TONTHATCredential: D.O.
Location Address155 N FRESNO STFresno, CA 93701-2302
Mailing Address155 N Fresno StFresno, CA 93701-2302
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateMay 7, 2022
NPPES CertifiedMay 6, 2022
NPI 1699139782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · 20A15865
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.
155 N FRESNO ST, Fresno, CA 93701

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

Sam Tonthat D.o. 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 ID1254664956
PECOS Enrollment IDI20220518003147
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
188 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services39 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
36 services32 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
14 services14 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
14 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93701 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Emergency Medicine
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Pediatrics (Adolescent Medicine)
155 N FRESNO ST, STE 326
FRESNO, CA 93701
Internal Medicine (Infectious Disease)
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701

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 Sam Tonthat's NPI number?

The NPI number for Sam Tonthat is 1699139782. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Sam Tonthat located?

Sam Tonthat practices at 155 N Fresno St, Fresno, CA 93701. The listed phone number is (559) 499-6500.

What is Sam Tonthat's specialty?

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

Is Sam Tonthat enrolled in Medicare?

Yes. Sam Tonthat 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.

When was this NPI record last updated?

The NPPES record for Sam Tonthat was last updated on May 7, 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.