SUPAWADEE PITAKMONGKOLKUL NP-C
NPI 1730329723
Nurse Practitioner - Family in Elmhurst, NY

Q: What is Supawadee Pitakmongkolkul's NPI number?

The NPI number for Supawadee Pitakmongkolkul is 1730329723. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Q: What is Supawadee Pitakmongkolkul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 03, 2009PECOS Enrolled

7901 BROADWAY, ELMHURST HOSPITAL CENTER, ELMHURST, NY 11373(718) 334-5970 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Supawadee Pitakmongkolkul Np-c NPPES

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

SUPAWADEE PITAKMONGKOLKUL NP-C (NPI 1730329723) is an individual family provider in Elmhurst, New York, licensed in New York (F334901-1) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730329723

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUPAWADEE PITAKMONGKOLKULCredential: NP-C

Location Address7901 BROADWAY, ELMHURST HOSPITAL CENTERElmhurst, NY 11373-1329

Mailing Address7901 Broadway, Elmhurst Hospital CenterElmhurst, NY 11373-1329 · (718) 334-5970

Phone(718) 334-5970

Sole ProprietorYes

Enumeration DateMarch 3, 2009

✔ NPI 1730329723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F334901-1

7901 BROADWAY, Elmhurst, NY 11373

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supawadee Pitakmongkolkul Np-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Supawadee Pitakmongkolkul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai

4.7 mi

Neurological Surgery

5 EAST 98 STREET 7TH FLOOR
Newyork, NY 10029

Reassigned Medicare billing, New York enrollment
233 clinicians in this Medicare group

NPI 1558627844 (212) 241-4572

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL ADRIAN POWELL P.A

Physician Assistant