PHETSAMONG NHONTHACHIT M.D.
NPI 1750814232
Family Medicine in Houston, TX
About Phetsamong Nhonthachit M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHETSAMONG NHONTHACHIT M.D. (NPI 1750814232) is an individual family medicine provider in Houston, Texas, licensed in Texas (S8351) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Shenandoah, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Phetsamong Nhonthachit 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.
Medicare Billing Reassignment
Medicare enrollment records show Phetsamong Nhonthachit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77025
- Reassigned Medicare billing, Texas enrollment
- 1,649 clinicians in this Medicare group
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 77039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77039
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 Phetsamong Nhonthachit's NPI number?
The NPI number for Phetsamong Nhonthachit is 1750814232. It was assigned to this individual provider in the NPPES registry on April 11, 2017.
Where is Phetsamong Nhonthachit located?
Phetsamong Nhonthachit practices at 4755 Aldine Mail Route Rd, Houston, TX 77039. The listed phone number is (281) 985-7600.
What is Phetsamong Nhonthachit's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Phetsamong Nhonthachit enrolled in Medicare?
Yes. Phetsamong Nhonthachit 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 organization bills Medicare for Phetsamong Nhonthachit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phetsamong Nhonthachit reassigns Medicare benefits to Kelsey-Seybold Medical Group, PLLC (Houston, TX). The 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 Phetsamong Nhonthachit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phetsamong Nhonthachit 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 2 other insurers list Phetsamong Nhonthachit 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.
When was this NPI record last updated?
The NPPES record for Phetsamong Nhonthachit 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.
# Phetsamong Nhonthachit, M.D. · NPI 1750814232
Family Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 11, 2017.
## Identity
- **NPI:** 1750814232 (Entity type: Individual)
- **Enumerated:** April 11, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** S8351 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4755 ALDINE MAIL ROUTE RD, Houston, TX 77039-5934
- **Phone:** (281) 985-7600 · **Fax:** (281) 985-7620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kelsey-Seybold Medical Group, PLLC (NPI 1013915255, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1750814232) · Data from the CMS NPPES public registry.