Chaiyapon Couropmitree, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036-045186 Issued in IL

Practice address

3416 Harlem Ave
Riverside, IL 60546-2604

Phone

(708) 442-6161

Fax

(708) 442-7188

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• C Couropmitree MD SC

  • Internal Medicine Physician
  • Riverside, IL
  • NPI 1538362108
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073624375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462604",
            "telephone_number": "708-442-6161",
            "fax_number": "708-442-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462604",
            "telephone_number": "708-442-6161",
            "fax_number": "708-442-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUROPMITREE",
        "first_name": "CHAIYAPON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-045186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036-045186",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean R Clark, JEAN R CLARK
• Jeri Jannine Coffey, D.D.S.
• Congruency Integrated Counseling, PLLC
• Cook County (Cook County Health at North Riverside Health)
• Anna Christina Cornejo, LCSW
• Micaela Cruz, RBT
• Mario Ezzar Damian Cardenas, MD
• Bilyana Stanimirova Daskalova
• Pradipkumar Shantilal Desai, M.D.
• Margaret Roche Dudek, M.S., R.D., L.D.N.,

• Endocrinology, Diabetes & Metabolism Physician in Riverside, IL
• Providers in Riverside, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.