SUTTATIP VECHVITVARAKUL MD
NPI 1902061716
Surgery - Vascular Surgery in Victorville, CA
About Suttatip Vechvitvarakul Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUTTATIP VECHVITVARAKUL MD (NPI 1902061716) is an individual vascular surgery provider in Victorville, California, licensed in California (A135920) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Williamson, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
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
Suttatip Vechvitvarakul Md 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 Reassignments
4Medicare enrollment records show Suttatip Vechvitvarakul reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95124
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1568851327 (California), NPI 1982845186 (California), NPI 1306241534 (California)
- 393 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Jackson, TN 38301
- Reassigned Medicare billing, Tennessee enrollment
- 242 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Seton Williamson
Acute Care Hospitals · Round Rock, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Suttatip Vechvitvarakul's NPI number?
The NPI number for Suttatip Vechvitvarakul is 1902061716. It was assigned to this individual provider in the NPPES registry on July 21, 2008.
Where is Suttatip Vechvitvarakul located?
Suttatip Vechvitvarakul practices at 15030 7th St, Victorville, CA 92395. The listed phone number is (760) 951-0065.
What is Suttatip Vechvitvarakul's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Suttatip Vechvitvarakul enrolled in Medicare?
Yes. Suttatip Vechvitvarakul 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 organizations bill Medicare for Suttatip Vechvitvarakul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suttatip Vechvitvarakul reassigns Medicare benefits to 4 organizations: Sutter Bay Medical Foundation (San Jose, CA), Northbay Healthcare Group (Fairfield, CA), Seton Family Of Doctors (Austin, TX) and West Tennessee Medical Group Inc (Jackson, TN). Each 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 Suttatip Vechvitvarakul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suttatip Vechvitvarakul accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Suttatip Vechvitvarakul 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.
Is Suttatip Vechvitvarakul affiliated with any hospitals?
According to CMS data, Suttatip Vechvitvarakul is affiliated with Ascension Seton Williamson.
When was this NPI record last updated?
The NPPES record for Suttatip Vechvitvarakul was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Suttatip Vechvitvarakul, MD · NPI 1902061716
Vascular Surgery physician in Victorville, California. Individual provider, active in the CMS NPPES registry since July 21, 2008.
## Identity
- **NPI:** 1902061716 (Entity type: Individual)
- **Enumerated:** July 21, 2008
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** A135920 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15030 7TH ST, Victorville, CA 92395-3811
- **Phone:** (760) 951-0065
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Sutter Bay Medical Foundation (NPI 1043654486, San Jose, CA); Northbay Healthcare Group (NPI 1821147786, Fairfield, CA); Seton Family Of Doctors (NPI 1225644065, Austin, TX); West Tennessee Medical Group Inc (NPI 1053615955, Jackson, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** August 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1902061716) · Data from the CMS NPPES public registry.