Somprak Boonpongmanee, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD00042206 Issued in WA

Practice address

8819 W. Victoria Ave
Kennewick, WA 99336

Phone

(509) 460-5500

Fax

(509) 460-5111

NPI assigned

Nov 13, 2006

Last updated

Jun 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-Cities Digestive Health Center, P.S.Group PAC ID 1759278633, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

Merit-based Incentive Payment System (MIPS)

Final score

89.84 of 100Reported as individual

Quality

92.26

Promoting interoperability

96

Improvement activities

40

Cost

77.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tri-Cities Digestive Health Center, PS

  • Endoscopy Clinic/Center
  • Kennewick, WA
  • NPI 1003987868
  Medicare reassignment Care Compare group NPD
• Mid-Columbia Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Kennewick, WA
  • NPI 1184926834
  NPD (past) Authorized official

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

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Good Shepherd Health Care System

  dba Good Shepherd Medical Center

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1528139359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 W. VICTORIA AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-460-5500",
            "fax_number": "509-460-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 W. VICTORIA AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-460-5500",
            "fax_number": "509-460-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONPONGMANEE",
        "first_name": "SOMPRAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00042206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8354037",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00289575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0207386",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Faye Boneck, LMP
• Peter Victorino Bonilla, PHARMD
• Rhonda Bonilla, N.P.
• David Bonner, MD
• Valerie Jean Bonomi, LMP
• Abigail Jill Boothe
• Rosa Borders, MD
• Lyda Jenee Bottineau, RN
• Clarity Botu
• Martin A Boudro, DDS MSD

• Gastroenterology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.

Verify at the official NPI Registry.