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Surasak Phuphanich

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NPI Number Detailed Information

Provider Information:

Name: Surasak Phuphanich
Gender: M
Provider License Number If Given: 53514

NPI Information:

NPI: 1457469074
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/25/2006

Last Update Date: 10/3/2019

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 512717
Los Angeles, CA 90051
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 8700 BEVERLY BLVD
West Hollywood, CA 90048
Phone Number: 3104235000
Fax Number:

Provider Taxonomy:

Primary: 207RX0202X
Secondary (if any): 2084N0400X
State: CA

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About Surasak Phuphanich

Surasak Phuphanich ( SURASAK PHUPHANICH ) is An Internal Medicine Physician in West Hollywood, CA. The NPI Number for Surasak Phuphanich is 1457469074.
The current location address for Surasak Phuphanich is 8700 BEVERLY BLVD West Hollywood, CA 90048 and the contact number is and fax number is . The mailing address for Surasak Phuphanich is PO BOX 512717 Los Angeles, CA 90051- 3104235000 (mailing address contact number - ).
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Provider Business Location on Map

FAQs:

What is the NPI Number for Surasak Phuphanich ?


Answer: The NPI Number for Surasak Phuphanich is 1457469074

Where is Surasak Phuphanich located?


Answer: Surasak Phuphanich is located at 8700 BEVERLY BLVD West Hollywood, CA 90048.

What is the specialty for Surasak Phuphanich ?


Answer: The Specialty of Surasak Phuphanich is An Internal Medicine Physician.

Are there any online reviews for Surasak Phuphanich ?


Answer: Yes! Check It Now.

Are there any other health care providers in West Hollywood, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Surasak Phuphanich

Number of HCPCS 7
Number of Medicare Beneficiaries 17
Number of Services 33
Total Submitted Charge Amount 12681
Total Medicare Allowed Amount 4880.83
Total Medicare Payment Amount 3724.02
Total Medicare Standardized Payment Amount 3486.37
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 7
Number of Medicare Beneficiaries With Medical 17
Number of Medical Services 33
Total Medical Submitted Charge Amount 12681
Total Medical Medicare Allowed Amount 4880.83
Total Medical Medicare Payment Amount 3724.02
Total Medical Medicare Standardized Payment Amount 3486.37
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.65
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 2.2962

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Neurology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 23
Number of Standardized 30-Day Fills 28.5
Aggregate Cost Paid for All Claims 498.13
Number of Day's Supply for All Claims 684
Number of Medicare Beneficiaries 11
Number of Claims, Including Refills, for Beneficiaries Age 65+ 23
Including Refills, for Beneficiaries Age 65+ 28.5
Beneficiaries Age 65+ 498.13
Number of Day's Supply for All Claims for Beneficaries Age 65+ 684
Number of Medicare Beneficiaries Age 65+ 11
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 23
Aggregate Cost Paid for Generic Drugs 498.13
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 76.454545455
Number of Beneficiaries Age Less Than 65 0
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 2.6789090909

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