Active NPI
Thitipong Tepsuwan, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New York, NY
National Provider Identifier
1104268077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- P89192
- Practice address
- 1 Gustave L. Levy Place, Mount Sinai Hospital
Department of Cardiothoracic Surgery
New York, NY 10029 - Phone
- (347) 659-4924
- NPI assigned
- Jul 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | P89192 | NY | Primary |
Addresses
Primary practice location
1 Gustave L. Levy Place, Mount Sinai Hospital
Department of Cardiothoracic Surgery
New York, NY 10029
Mailing address
1 Gustave L. Levy Place, Box 1028
Department of Cardiothoracic Surgery, Mount Sinai
New York, NY 10029
Phone (347) 659-4924
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P89192 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1104268077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. LEVY PLACE, BOX 1028",
"address_2": "DEPARTMENT OF CARDIOTHORACIC SURGERY, MOUNT SINAI",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "347-659-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. LEVY PLACE, MOUNT SINAI HOSPITAL",
"address_2": "DEPARTMENT OF CARDIOTHORACIC SURGERY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "347-659-4924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPSUWAN",
"first_name": "THITIPONG",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "P89192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.