Somkiat Sopontammarak, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

N9304 Issued in TX

Practice address

6401 Indiana Ave
Suite C
Lubbock, TX 79413-5740

Phone

(806) 799-3322

Fax

(806) 799-3327

NPI assigned

Jul 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: somkiat.sopontammarak@direct.myteamcare.com

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.

• Texas Tech University Health Sciences Center Lubbock

  • Anatomic Pathology Physician
  • Lubbock, TX
  • NPI 1063461358
  Medicare reassignment NPD
• South Plains Pediatric Cardiology, P.a.

  • Pediatric Cardiology Physician
  • Lubbock, TX
  • NPI 1437443538
  NPD Authorized official
• Texas Tech University Health Sciences Center Lubbock

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1053458026
  NPD
• Texas Tech University Health Sciences Center Lubbock

  • Pediatrics Physician
  • Lubbock, TX
  • NPI 1972552263
  NPD

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1720242126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 82ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244239",
            "telephone_number": "806-441-1257",
            "fax_number": "325-200-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 INDIANA AVE",
            "address_2": "SUITE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135740",
            "telephone_number": "806-799-3322",
            "fax_number": "806-799-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPONTAMMARAK",
        "first_name": "SOMKIAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "N9304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702120",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICARE INDIVIDUAL PTAN",
            "identifier": "TXB125279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin Townes Son, M.D.
• Julia Hye Eun Son
• Rebecca Hye Jin Son, DMD
• Busara Songtanin
• Sonocentrics Precise Vascular Sonography
• Emma Soria-Lumongsud, PT
• Karen Soriano, M.D.
• Mark H. Soriano, MD
• Sydney Laine Sorley, APRN FNP-C
• Christopher Lee Sosebee

• Pediatric Cardiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.