SAMAI SUPAN M.D.
NPI 1861451569
Family Medicine - Adult Medicine in Okatie, SC

Q: What is Samai Supan's NPI number?

The NPI number for Samai Supan is 1861451569. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is Samai Supan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Samai Supan was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2006PECOS Enrolled

719 OKATIE HWY # 170, OKATIE, SC 29909(843) 987-7400(843) 987-5135 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samai Supan M.d. NPPES

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

SAMAI SUPAN M.D. (NPI 1861451569) is an individual adult medicine provider in Okatie, South Carolina, licensed in South Carolina (11283) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861451569

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameSAMAI SUPANCredential: M.D.

Location Address719 OKATIE HWY # 170Okatie, SC 29909-3963

Mailing Address154 Spanish Point DrBeaufort, SC 29902-6126 · (843) 525-6569

Phone(843) 987-7400

Fax(843) 987-5135

Sole ProprietorNo

Enumeration DateMarch 21, 2006

Last NPPES UpdateMarch 10, 2020

NPPES CertifiedMarch 10, 2020

✔ NPI 1861451569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in SC · 11283

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

719 OKATIE HWY # 170, Okatie, SC 29909

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Other Identifiers 1

Other11283SC · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samai Supan M.d. 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 29909 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.