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

Active since June 12, 2019PECOS Enrolled
212 E CENTRAL AVE STE 245, SPOKANE, WA 99208(509) 489-2600 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 and is a graduate of Vanderbilt University School Of Medicine (2019).

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
Medical School CMSVanderbilt University School Of MedicineGraduated 2019
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supisara Tintara Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294061966
PECOS Enrollment IDI20260716002089
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 Supisara Tintara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services Washington
4.3 mi
Pulmonary Disease
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 862 clinicians in this Medicare group
NPI 1194099390 (509) 474-2072

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 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.

Other Providers at the Same Location NPPES 10

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

MS. KATHERINE NALL BIRRER PA-S
Physician Assistant
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 824-1686
KRISTIN MICHELE TREECE PA-C
Physician Assistant (Surgical)
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 252-1977
LINH MY QUAN PAC
Physician Assistant (Medical)
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 489-2600
KARINA VALHALLA MANDRAGON PA-C
Physician Assistant
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 489-2600
SUMANT ARORA M.D.
Internal Medicine (Gastroenterology)
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 489-2600
DR. CATHERINE M TSAI MD
Internal Medicine (Gastroenterology)
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 489-2600
MATTHEW BERGER M.D.
Internal Medicine (Gastroenterology)
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 489-2600
DR. JOSHUA ELLIS DRUMM D.O.
Orthopaedic Surgery
212 E CENTRAL AVE STE 245
SPOKANE, WA 99208
Spokane County (509) 252-1977

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 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.

Where is Supisara Tintara located?

Supisara Tintara practices at 212 E Central Ave Ste 245, Spokane, WA 99208. The listed phone number is (509) 489-2600.

What is Supisara Tintara's specialty?

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

Is Supisara Tintara enrolled in Medicare?

Yes. Supisara Tintara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Supisara Tintara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supisara Tintara reassigns Medicare benefits to Providence Health & Services Washington (Spokane, WA). 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 Supisara Tintara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Supisara Tintara accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Supisara Tintara 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 Supisara Tintara was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.