Supavich Tannumsaeng, M.D.
NPI 1669212221 · Student in an Organized Health Care Education/Training Program · Greenville, NC
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supavich Tannumsaeng, M.D. is a Student in an Organized Health Care Education/Training Program provider in Greenville, NC (NPI 1669212221).
Provider details
- NPI number
- 1669212221
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-09-27
Frequently asked questions
- What is Supavich Tannumsaeng's NPI number?
- Supavich Tannumsaeng's National Provider Identifier (NPI) is 1669212221, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Supavich Tannumsaeng's specialty?
- Supavich Tannumsaeng is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Supavich Tannumsaeng located?
- Supavich Tannumsaeng's practice location on file with NPPES is 2100 Stantonsburg Road, Ecu Health Medical Center, Greenville, NC 27834.
- What is Supavich Tannumsaeng's phone number?
- The practice phone number listed in the NPPES registry for Supavich Tannumsaeng is (252) 847-4100.
- Does Supavich Tannumsaeng accept Medicare?
- Supavich Tannumsaeng is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Supavich Tannumsaeng's NPI active?
- Yes — Supavich Tannumsaeng's NPI (1669212221) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.