Nuttanun Suramaethakul, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

9492315-1205 Issued in UT

Practice address

1151 E 3900 S Ste B275
Salt Lake City, UT 84124-1259

Phone

(801) 268-6830

Fax

(801) 262-3584

NPI assigned

Apr 6, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nuttanun Suramaethakul MD LLC

  • Infectious Disease Physician
  • Salt Lake City, UT
  • NPI 1457716961
  Authorized official Same address or phone
• Northeastern Ohio Infectious Disease Association, Inc.

  • Infectious Disease Physician
  • Youngstown, OH
  • NPI 1083012975
  NPD (past)
• Worcester Gastroenterology Partners Inc

  dba Worcester Gastroenterology Partners

  • Gastroenterology Physician
  • Worcester, MA
  • NPI 1487072302
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689816605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E 3900 S STE B275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241259",
            "telephone_number": "801-268-6830",
            "fax_number": "801-262-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E 3900 S STE B275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241259",
            "telephone_number": "801-268-6830",
            "fax_number": "801-262-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAMAETHAKUL",
        "first_name": "NUTTANUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.014260",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "UT",
            "license": "9492315-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689816605",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Superior Billing Inc
• Superior Care Pharmacy, LLC (Omnicare of Salt Lake City)
• Katherine P Supiano, LCSW
• Mark Andrew Supiano, M.D.
• Sara A Supinski, L.A.C.
• Surgical Care Associates
• Surgical Weight Loss Specialists PLLC
• Natalie Surut, PT, DPT
• Amit Surve, MD
• Survive & Thrive Therapy Services, PLLC

• Infectious Disease Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Infectious Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.