Active NPI
Tanuntorn Songdechakraiwut, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
National Provider Identifier
1902247547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 575182
- Practice address
- 6770 Bertner Ave
Texas Heart Institute, C-330
Houston, TX 77030-2604 - Phone
- (510) 734-9769
- NPI assigned
- Jul 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 575182 | TX | Primary |
Addresses
Primary practice location
6770 Bertner Ave
Texas Heart Institute, C-330
Houston, TX 77030-2604
Mailing address
1 Baylor PLZ
Thi/BCM Thoracic Residency Program, BCM 390
Houston, TX 77030-3411
Phone (832) 355-9936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575182 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1902247547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"address_2": "THI/BCM THORACIC RESIDENCY PROGRAM, BCM 390",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "832-355-9936",
"fax_number": "832-355-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 BERTNER AVE",
"address_2": "TEXAS HEART INSTITUTE, C-330",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302604",
"telephone_number": "510-734-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONGDECHAKRAIWUT",
"first_name": "TANUNTORN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "575182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.