NUCHARIN SUPAKUL M.D. NPI 1205140431

NPI Information

  • NPI: 1205140431
  • Provider Name: NUCHARIN SUPAKUL, M.D.
  • Classification: Radiology - 2085P0229X
  • Specialization: Pediatric Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 UNIVERSITY BLVD
    ROOM 0279
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 944-1816

Map and Directions

Get Directions

NPI Details

Nucharin Supakul, M.D. is a pediatric radiology radiology in Indianapolis, IN with 23 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Nucharin Supakul, M.D. NPI is 1205140431. 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:

550 UNIVERSITY BLVD
ROOM 0279
INDIANAPOLIS, IN
ZIP 46202-149
Phone: (317) 944-1816

The NPI 1205140431 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of upper spine without contrast (HCPCS:72125)

The enumeration date for this NPI number is 7/29/2010 and was last updated on 3/5/2021.

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
12085P0229XRadiologyPediatric Radiology110155624INDIANAYes

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
1201125210MEDICAIDINDIANA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI