SOPHAVY SUON VERMILLION PA-C
NPI 1942738943
Physician Assistant - Medical in Houston, TX

Q: What is Sophavy Vermillion's NPI number?

The NPI number for Sophavy Vermillion is 1942738943. It was assigned to this individual provider in the NPPES registry on June 2, 2017. The provider is also known as Sophavy Suon Pa-C.

Q: What is Sophavy Vermillion's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since June 02, 2017PECOS EnrolledAccepts Medicare Assignment

7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030(713) 986-6016 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2026, Sep 16, 2025, Jun 2, 2017 (3 updates tracked since 2017).

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About Sophavy Suon Vermillion Pa-c NPPES

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

SOPHAVY SUON VERMILLION PA-C (NPI 1942738943) is an individual medical provider in Houston, Texas, licensed in Texas (PA19411) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942738943

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSOPHAVY SUON VERMILLIONCredential: PA-C

Location Address7200 CAMBRIDGE ST FL 10Houston, TX 77030-4202

Mailing Address7200 Cambridge St Ste 10aHouston, TX 77030-4202

Phone(713) 986-6016

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 2, 2017

Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1942738943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in TX · PA19411✔ Licensed in CA · 54512

7200 CAMBRIDGE ST FL 10, Houston, TX 77030

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Other Names 1

Former Name (1)Sophavy Suon Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophavy Suon Vermillion Pa-c 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.

PECOS PAC ID8628334133

PECOS Enrollment IDI20250929003823

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Other Providers at the Same Location NPPES 20

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

ANAND VILASCHANDRA PATEL M.D.

Psychiatry & Neurology (Neurology)