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Dr. Paweena Thoophom , MD

Pediatrics β€’ Enumclaw, WA

Active NPI 1487675526 Individual Practitioner Female Practitioner
Practice location in NPPES

3021 Griffin Ave
Enumclaw, WA 980222369

Call 3608256511 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3021 Griffin Ave

Enumclaw, WA 980222369

Telephone 3608256511
Fax 3608256536
Organization at the Same NPPES Address or Phone
Franciscan Medical Group Facility NPI 1952696015

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Thoophom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Thoophom as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Enumclaw and Washington

2 active clinicians are listed under Pediatrics with a practice address in Enumclaw, WA (1,752 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA MD00046037

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA A93951

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20120727000639

Enrollment State Jurisdiction

WA

PECOS Control ID

9537284427

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Dr. Dane Bay , MD, MPH

Family Medicine

NPI 1346690625

Doctor of Medicine (M.D.), Master of Public Health

Dr. Daniel Clerc , MD

Family Medicine

NPI 1508871153

Doctor of Medicine (M.D.)

Dr. Gregory Duff , MD

Orthopaedic Surgery

NPI 1952374290

Doctor of Medicine (M.D.)

NPI 1699126755

Doctor of Medicine (M.D.)

NPI 1285079145

Doctor of Medicine (M.D.)

Jennifer Erickson , PA-C

Physician Assistant

NPI 1194045682

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active November 28, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 28, 2017

Registered at 3021 GRIFFIN AVE, ENUMCLAW, WA 980222369 (Tel: 3608256511)

πŸ“
Updated Business Mailing Address November 28, 2017

Registered at 3021 GRIFFIN AVE, ENUMCLAW, WA 980222369 (Tel: 3608256511)

πŸ‘€
Provider Name / Credentials Updated November 28, 2017

Recorded as PAWEENA THOOPHOM, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2017

Pediatrics (license number reported to NPPES: WA MD00046037)

βœ…
NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 01, 2012

Registered at 303 LOMA DR, LOS ANGELES, CA 900171103 (Tel: 2132015800)

πŸ“
Business Mailing Address (Initial Record) March 01, 2012

Registered at 6000 N FIGUEROA ST, LOS ANGELES, CA 900424232 (Tel: 3232545221)

πŸ‘€
Provider Name / Credentials (Initial Record) March 01, 2012

Recorded as PAWEENA THOOPHOM, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Pediatrics (license number reported to NPPES: CA A93951)

🟒
Initial NPI Registration & Enumeration July 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487675526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2006
Last Update: November 28, 2017
Sole Proprietor: No

Mailing Address

3021 Griffin Ave

Enumclaw, WA 980222369

Phone: 3608256511

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.