SUPISARA TINTARA MD - NPI 1790344893 - Internal Medicine in Spokane, WA

Q: What is Supisara Tintara's NPI number?

The NPI number for Supisara Tintara is 1790344893. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Q: What is Supisara Tintara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Supisara Tintara was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Supisara Tintara Md NPPES

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

SUPISARA TINTARA MD (NPI 1790344893) is an individual gastroenterology provider in Spokane, Washington, licensed in Washington (MD.MD.70119872) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790344893

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameSUPISARA TINTARACredential: MD

Location Address212 E CENTRAL AVE STE 245Spokane, WA 99208-6289

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114

Phone(509) 489-2600

Sole ProprietorNo

Enumeration DateJune 12, 2019

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1790344893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WA · MD.MD.70119872

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

212 E CENTRAL AVE STE 245, Spokane, WA 99208

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supisara Tintara Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.