Individual provider Active NPI

Austin Supanaranond, MD

  • Orthopaedic Surgery Physician
  • Renton, WA
National Provider Identifier
1023917770
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MDCE.ML.70155987 Issued in WA
Practice address
1000 Oakesdale Ave SW Ste 100
Renton, WA 98057-5202
Phone
(425) 800-9757
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MDCE.ML.70155987 WA Primary

Addresses

Primary practice location

1000 Oakesdale Ave SW Ste 100
Renton, WA 98057-5202

Mailing address

1000 Oakesdale Ave SW Ste 100
Renton, WA 98057-5202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renton Spine and Sports Medicine LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793404800000",
    "number": "1023917770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAKESDALE AVE SW STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAKESDALE AVE SW STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575202",
            "telephone_number": "425-800-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPANARANOND",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MDCE.ML.70155987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.