Teerath Peter Tanpitukpongse, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2012-02013 Issued in NC

Practice address

3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087

Phone

(919) 781-1437

Fax

(919) 787-4870

NPI assigned

May 10, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, HI, VA, SC, NY5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Diagnostic Radiology

Education

New York University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians

Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians

Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
• Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
• Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173
• Centra Bedford Memorial Hospital Hospital, Bedford, VA, CCN 490088
• Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090

Merit-based Incentive Payment System (MIPS)

Final score

93.16 of 100Reported as apm

Quality

83.58

Promoting interoperability

94

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.55 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teerath.tanpitukpongse@direct.raleighrad.nchie.net

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.

• Raleigh Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1811920101

  HI, NY, SC

  Medicare reassignment Care Compare group NPD
• Raleigh Radiology Wakemed Imaging, LLC

  • Diagnostic Radiology Physician
  • Wake Forest, NC
  • NPI 1821694381
  Medicare reassignment Care Compare group NPD
• Raleigh Radiology, LLC

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1952527343
  Medicare reassignment Care Compare group NPD
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966

  HI, NC, NY

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wakemed

  • General Acute Care Hospital
  • Cary, NC
  • NPI 1114993086
  Care Compare affiliation
• Wakemed

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  Care Compare affiliation
• Wakemed

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1972579837
  Care Compare affiliation
• Bedford Memorial Hospital

  • General Acute Care Hospital
  • Bedford, VA
  • NPI 1295728491
  Care Compare affiliation
• Centra Health Inc

  • General Acute Care Hospital
  • Lynchburg, VA
  • NPI 1770693939
  Care Compare affiliation
• Centra Health Professional Services, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynchburg, VA
  • NPI 1407884448

  Hospital

  Care Compare affiliation
• Centra Health Professional Services, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Lynchburg, VA
  • NPI 1811925852

  Hospital

  Care Compare affiliation
• Centra Health Professional Services, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lynchburg, VA
  • NPI 1902834948

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  • Vascular Surgery Physician
  • Lynchburg, VA
  • NPI 1144880782

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynchburg, VA
  • NPI 1184964124

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  • Hematology & Oncology Physician
  • Lynchburg, VA
  • NPI 1700293628

  Hospital

  Care Compare affiliation
• Southside Community Hospital, Inc.

  • General Acute Care Hospital
  • Farmville, VA
  • NPI 1518952761
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1013276021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 SITUS CT",
            "address_2": "STE 170",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064279",
            "telephone_number": "919-834-2767",
            "fax_number": "919-834-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-781-1437",
            "fax_number": "919-787-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Tate Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011109",
            "country_code": "US",
            "telephone_number": "434-200-5047",
            "fax_number": "434-200-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANPITUKPONGSE",
        "first_name": "TEERATH",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "2012-02013",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101270926",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2012-02013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Dice, DMD, PA
• Blair Anthony Tanner, P.T.
• Jeanne B. Tanner, OT
• John P Tanner, MD
• Joy C Tanner, MA, LCMHCS
• Kristopher Allen Tantillo, M.D.
• Tanza Haskins Counseling Services, Inc.
• Kayla Taormina, DPT
• Paul Tarangelo, PA
• Mara C Taranhike, MSW, LCSWA

• Diagnostic Radiology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.

Verify at the official NPI Registry.