DR. TANEENOP ARAMPHONGPHAN D.M.D.
NPI 1750766358
Dentist - Oral and Maxillofacial Surgery in Bloomington, IL

Q: What is Taneenop Aramphongphan's NPI number?

The NPI number for Taneenop Aramphongphan is 1750766358. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Q: What is Taneenop Aramphongphan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment

109 N REGENCY DR, BLOOMINGTON, IL 61701(309) 663-2526 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Dec 30, 2019 (2 updates tracked since 2019).

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About Dr. Taneenop Aramphongphan D.m.d. NPPES

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

DR. TANEENOP ARAMPHONGPHAN D.M.D. (NPI 1750766358) is an individual oral and maxillofacial surgery provider in Bloomington, Illinois, licensed in Illinois (019030316) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Midwestern University College Of Dental Medicine, Downers Grove (2015).

NPPES Registry Identity

NPI1750766358

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. TANEENOP ARAMPHONGPHANCredential: D.M.D.

Location Address109 N REGENCY DRBloomington, IL 61701-3515

Mailing Address109 N Regency DrBloomington, IL 61701-3515 · (973) 847-4533 · Fax (309) 663-4788

Phone(309) 663-2526

Sole ProprietorYes

Medical School CMSMidwestern University College Of Dental Medicine, Downers GroveGraduated 2015

Enumeration DateJuly 23, 2015

Last NPPES UpdateApril 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1750766358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 019030316

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

109 N REGENCY DR, Bloomington, IL 61701

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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, BEST Life, Blue Cross and Blue Shield of Alabama 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

Dr. Taneenop Aramphongphan D.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 ID1456641752

PECOS Enrollment IDI20191009003241, I20260421002520

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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

68 services67 patients

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

42 services40 patients

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 services16 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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 5

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

DR. JACK CAPODICE JR. MD, DMD

Dentist (Oral and Maxillofacial Surgery)