Individual provider Active NPI

Thrissawan Sungkapalee, M.D.

  • Infectious Disease Physician
  • Newport Beach, CA
National Provider Identifier
1205145265
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C152163 Issued in CA
Practice address
320 Superior Ave Ste 310
Newport Beach, CA 92663
Phone
(949) 515-3590
Fax
(949) 515-3594
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X C152163 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 310
Newport Beach, CA 92663

Mailing address

320 Superior Ave Ste 310
Newport Beach, CA 92663-2742
Phone (949) 515-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20180108002853 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8820223514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Id Associates IncGroup PAC ID 1153578679, 5 clinicians

Practice addresses (Care Compare)

320 Superior Ave
Suite 370
Newport Beach, CA 92663-2795
Phone (949) 515-3590

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
43.43 of 100Reported as group
Quality
31.8
Improvement activities
0
Cost
81.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Id Associates, Inc. Infectious Disease CurrentSince Feb 28, 2018 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Northeastern Ohio Infectious Disease Association, Inc. Infectious Disease Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

320 Superior Ave
Ste 370
Newport Beach, CA 92663
Phone (949) 515-3590

320 Superior Ave
Ste 310
Newport Beach, CA 92663
Phone (714) 642-6320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1205145265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632742",
            "telephone_number": "949-515-3590",
            "fax_number": "949-515-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-515-3590",
            "fax_number": "949-515-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNGKAPALEE",
        "first_name": "THRISSAWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "C152163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.