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DR. PORNTHEP TANPOWPONG M.D.
NPI 1962690974
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since October 04, 2007PECOS Enrolled
1117 N DEARBORN ST, APT 816, CHICAGO, IL 60610(773) 341-8090 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Pornthep Tanpowpong M.d. NPPES

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

DR. PORNTHEP TANPOWPONG M.D. (NPI 1962690974) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962690974
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PORNTHEP TANPOWPONGCredential: M.D.
Location Address1117 N DEARBORN ST, APT 816Chicago, IL 60610-2701
Mailing Address1117 N Dearborn St, Apt 816Chicago, IL 60610-2701 · (773) 341-8090
Phone(773) 341-8090
Sole ProprietorNo
Enumeration DateOctober 4, 2007
✔ NPI 1962690974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1117 N DEARBORN ST, Chicago, IL 60610
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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)

Dr. Pornthep Tanpowpong 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.

Other Providers at the Same Location NPPES

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

MOLLY FREY
Student in an Organized Health Care Education/Training Program
1117 N DEARBORN ST, APT 411
CHICAGO, IL 60610
Cook County (815) 245-9801

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 Pornthep Tanpowpong's NPI number?

The NPI number for Pornthep Tanpowpong is 1962690974. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Pornthep Tanpowpong located?

Pornthep Tanpowpong practices at 1117 N Dearborn St Apt 816, Chicago, IL 60610. The listed phone number is (773) 341-8090.

What is Pornthep Tanpowpong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pornthep Tanpowpong enrolled in Medicare?

Yes. Pornthep Tanpowpong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pornthep Tanpowpong was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.