Active NPI
Jirapat Teerakanok, MD
- Rheumatology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- M2365
- Practice address
- 119 Belmont Street
Rheumatology
Worcester, MA 01605 - Phone
- (508) 334-5224
- Fax
- (508) 334-5654
- NPI assigned
- Jul 9, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Rheumatology Physician | 207RR0500X | M2365 | GU | Primary |
Addresses
Primary practice location
119 Belmont Street
Rheumatology
Worcester, MA 01605
Mailing address
55 Lake Avenue North
Rheumatology
Worcester, MA 01655
Phone (508) 856-6246
Other practice location 1
3601 4th St
Ms 9410
Lubbock, TX 79430-0002
Phone (806) 743-3673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- 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
- Rheumatology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
Hospital & facility affiliations
- Guam Regional Medical City
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 78.84
- Improvement activities
- 40
- Cost
- 61.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2365 | GU | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
Interoperability endpoints
- jirapat.teerakarnok@direct.myteamcare.com
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 and National Provider Directory roles.
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1174906002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LAKE AVENUE NORTH",
"address_2": "RHEUMATOLOGY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01655",
"telephone_number": "508-856-6246",
"fax_number": "508-856-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BELMONT STREET",
"address_2": "RHEUMATOLOGY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-334-5224",
"fax_number": "508-334-5654"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St",
"address_2": "MS 9410",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-743-3673",
"fax_number": "806-743-3560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEERAKANOK",
"first_name": "JIRAPAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GU",
"license": "M2365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.