Siriluk Inchannarong

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1157735 Issued in TX

Practice address

5414 Fredericksburg Rd Ste 150
San Antonio, TX 78229-3652

Phone

(210) 615-9800

Fax

(210) 615-9801

NPI assigned

Apr 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emily R. Pineda MD PAGroup PAC ID 8123120334, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Emily R. Pineda MD PA

  • Rheumatology Physician
  • San Antonio, TX
  • NPI 1902905292

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

• VHS San Antonio Partners LLC

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1669227286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROARING CREEK DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063919",
            "telephone_number": "210-774-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293652",
            "telephone_number": "210-615-9800",
            "fax_number": "210-615-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCHANNARONG",
        "first_name": "SIRILUK",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1157735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inbetween Living Rehabilitation Center
• Inbodied
• Incarnate Word Retirement Community, Inc.
• Incarnate Word Retirement Community, Inc.
• Koree Lorraine Ince, BCBA
• Christian Andres Inchaustegui, MD
• Emilyn Fortich Incio
• Christina A. Inclan, PMHNP
• Chris Incorvaia Jr., FNP-C
• Ind Opulence LLC

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.