Parkpoom Phatharacharukul, M.D.
NPI 1205254547 · Gastroenterology Physician · St Louis Park, MN
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Parkpoom Phatharacharukul, M.D. is a Gastroenterology Physician provider in St Louis Park, MN (NPI 1205254547).
Provider details
- NPI number
- 1205254547
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
325 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 63 | $5 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 51 | $57 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 49 | $224 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 35 | $428 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetron Hcl | 317 | 314 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 256 | 255 |
| Omeprazole | 154 | 60 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 51 | 51 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 40 | 40 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 28 | 28 |
Practice location
Mailing address
Additional practice locations (3)
- 702 Rotary Cir Ste 225Indianapolis, IN 46202-5133Phone: (317) 278-4427
- 420 Delaware St SeMmc 284 Phillips Wangensteen Bldg 14th Floor, Suite 100Minneapolis, MN 55455-0341Phone: (612) 626-5031Fax: (612) 625-3238
- 1205 S Grange Ave Ste 510Sioux Falls, SD 57105-0410Phone: (605) 328-8500
Registry dates
- Enumerated
- 2014-04-03
- Last updated
- 2023-10-20
- Certified
- 2023-10-20
Frequently asked questions
- What is Parkpoom Phatharacharukul's NPI number?
- Parkpoom Phatharacharukul's National Provider Identifier (NPI) is 1205254547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Parkpoom Phatharacharukul's specialty?
- Parkpoom Phatharacharukul is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Parkpoom Phatharacharukul located?
- Parkpoom Phatharacharukul's practice location on file with NPPES is 6500 Excelsior Blvd, St Louis Park, MN 55426-4702.
- What is Parkpoom Phatharacharukul's phone number?
- The practice phone number listed in the NPPES registry for Parkpoom Phatharacharukul is (952) 993-3240.
- Does Parkpoom Phatharacharukul accept Medicare?
- Parkpoom Phatharacharukul is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Parkpoom Phatharacharukul's NPI active?
- Yes — Parkpoom Phatharacharukul's NPI (1205254547) is active in the NPPES registry as of the last update on 2023-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.