DR. PONRAT PAKPREO MD NPI 1023050200

NPI Information

NPI: 1023050200
Provider Name: DR. PONRAT PAKPREO, MD
Classification: Pediatrics - 2080A0000X
Specialization: Adolescent Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 16528 E DESMET CT STE B-1000
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 944-8860

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NPI Details

DR. Ponrat Pakpreo, MD is an adolescent medicine pediatrics in Spokane Valley, WA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Ponrat Pakpreo, MD NPI is 1023050200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16528 E DESMET CT STE B-1000
SPOKANE VALLEY, WA
ZIP 99216-522
Phone: (509) 944-8860
Fax: (509) 944-8856

The NPI 1023050200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		224294	NEW YORK	No
2	208000000X	Pediatrics		MD00047151	WASHINGTON	No
3	2080A0000X	Pediatrics	Adolescent Medicine	224294	NEW YORK	No
4	2080A0000X	Pediatrics	Adolescent Medicine	MD00047151	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8468340	MEDICAID	WASHINGTON
2	02689641	MEDICAID	NEW YORK
3	AB32999	OTHER	WASHINGTON	MEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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