Individual provider Active NPI

Prasongchai Sattayaprasert, M.D., PH.D.

  • Cardiovascular Disease Physician
  • Saint Paul, MN
National Provider Identifier
1841570140
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
79699 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-4887
NPI assigned
Aug 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125059246 IL
Cardiovascular Disease Physician 207RC0000X 57.022011 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 53110 KY
Clinical Cardiac Electrophysiology Physician 207RC0001X 01082640A IN
Cardiovascular Disease Physician 207RC0000X 79699 MN Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 450-6815

Other practice location 1

520 Mary St Ste 230
Evansville, IN 47710-1678
Phone (812) 464-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20250623002380 MN Practitioner - Cardiovascular Disease (Cardiology) 4880837525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Phone (651) 767-1900

1500 Curve Crest W Blvd
Stillwater, MN 55082-6040
Phone (651) 439-1234

15245 Bluebird NWST
Andover, MN 55304-3554
Phone (763) 712-6000

15350 English Ave
Apple Valley, MN 55124-6252
Phone (952) 431-8500

205 Wabasha Ave S
Saint Paul, MN 55107-1805

233 Radio Dr
Woodbury, MN 55125-5805
Phone (952) 967-7616

2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-0020

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400

435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

8325 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5868

8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

927 Churchill W St
Stillwater, MN 55082-6605
Phone (651) 439-5330

Hospital & facility affiliations

  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066
  • Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308
  • Hudson Hospital Hospital, Hudson, WI, CCN 521335
  • Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair36
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
125059246ILMDInternal Medicine Physician
79699MNMDCardiovascular Disease Physician
57.022011OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital Inc CurrentSince Sep 27, 2019 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Aug 1, 2019 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Aug 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Jun 2, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Sep 19, 2019 Accepting new patients
Group Health, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Sep 27, 2019 Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1300 Merritt Dr
#110
Henderson, KY 42420
Phone (270) 827-8811

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

640 Jackson St
#11102M
Saint Paul, MN 55101
Phone (651) 254-4887

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: psattayaprasert50587@direct.metrohealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1841570140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-450-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Mary St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101678",
            "country_code": "US",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATTAYAPRASERT",
        "first_name": "PRASONGCHAI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125059246",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "57.022011",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "53110",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IN",
            "license": "01082640A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "79699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.