Active NPI
Pichapong Tunsupon, M.D.
- Pulmonary Disease Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME129427
- Practice address
- 9430 Turkey Lake Rd Ste 110
Orlando, FL 32819-8015 - Phone
- (321) 841-7856
- Fax
- (321) 843-6432
- NPI assigned
- Jul 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.018973 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME129427 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | ME129427 | FL | Primary |
Addresses
Primary practice location
9430 Turkey Lake Rd Ste 110
Orlando, FL 32819-8015
Mailing address
9430 Turkey Lake Rd Ste 110
Orlando, FL 32819-8015
Phone (321) 841-7856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021282900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 354-1202
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.018973 | OH | MD | Internal Medicine Physician |
| ME129427 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Pulmonary Disease Specialists, PA | Pulmonary Disease | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients |
Locations
110 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-0104
1121 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-1221
290 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 933-1221
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
9430 Turkey Lake Rd
Ste 110
Orlando, FL 32819
Phone (407) 370-8705
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ptunsupon179059@orlandohealth.medalliesdirect.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Internal Medicine
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1649484809
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1821376096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE RD STE 110",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "321-841-7856",
"fax_number": "321-843-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE RD STE 110",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "321-841-7856",
"fax_number": "321-843-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNSUPON",
"first_name": "PICHAPONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.018973",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME129427",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME129427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021282900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.