Active NPI
Supamit Ukarapong, M.D.
- Pediatric Endocrinology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- ME116950
- Practice address
- 601 5TH St S
St Petersburg, FL 33701-4804 - Phone
- (727) 767-3636
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 35.096853 | OH | |
| Pediatric Endocrinology Physician | 2080P0205X | ME116950 | FL | Primary |
Addresses
Primary practice location
601 5TH St S
St Petersburg, FL 33701-4804
Mailing address
601 5TH St S
St Petersburg, FL 33701-4804
Other practice location 1
1475 NW 12th Ave
Miami, FL 33136-1002
Phone (305) 243-5757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME116950 | FL | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients |
Locations
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1450 NW 10th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-2920
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
Interoperability endpoints
- sukarapong1019810@direct.hopkinsmedicine.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1003081100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-3636"
}
],
"practiceLocations": [
{
"address_1": "1475 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361002",
"country_code": "US",
"telephone_number": "305-243-5757",
"fax_number": "305-243-6309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UKARAPONG",
"first_name": "SUPAMIT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "OH",
"license": "35.096853",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "FL",
"license": "ME116950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- U S Lab & Radiology LLC
- U.S. Healthworks Meddical Group of Florida, Inc.
- U.S. Healthworks Meddical Group of Florida, Inc.
- Erum G Uddin
- Daniela Uebelhart, M.D.
- Ricardo Alberto Ullrich, DMD
- Jaime L Ulrich, PA
- Ultra Imaging of Tampa LLC
- Ultra Imaging of Tampa LLC
- Ultroid Wellness Centers of Florida LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.