DR. SOMPRAK BOONPONGMANEE M.D. NPI 1528139359

NPI Information

  • NPI: 1528139359
  • Provider Name: DR. SOMPRAK BOONPONGMANEE, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8819 W. VICTORIA AVE
    KENNEWICK, WA
    ZIP 99336
  • Phone: (509) 460-5500

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NPI Details

DR. Somprak Boonpongmanee, M.D. is a gastroenterology internal medicine in Kennewick, WA with 35 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Somprak Boonpongmanee, M.D. NPI is 1528139359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8819 W. VICTORIA AVE
KENNEWICK, WA
ZIP 99336
Phone: (509) 460-5500
Fax: (509) 460-5111

The NPI 1528139359 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.

  • Injection, vedolizumab, 1 mg (HCPCS:J3380)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Removal of external hemorrhoids by rubber banding (HCPCS:46221)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 11/13/2006 and was last updated on 6/5/2015.

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
1207RG0100XInternal MedicineGastroenterologyMD00042206WASHINGTONYes

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
10207386OTHERWASHINGTONLABOR AND INDUSTRIES
28858831MEDICARE ID-TYPE UNSPECIFIED
3P00289575OTHERRR MEDICARE
48354037MEDICAIDWASHINGTON
5H75710MEDICARE UPIN

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

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