PISESPONG PATAMASUCON M.D. – NPI #1790763415
Pediatrics

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

PISESPONG PATAMASUCON is a physician located in LAS VEGAS, NV. NPPES has assigned the NPI number 1790763415 to PISESPONG PATAMASUCON on January 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0208X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Infectious Diseases

The NPI profile was last updated on Feb 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PISESPONG PATAMASUCON below.

NPI Profile for
PISESPONG PATAMASUCON

NPI Number
1790763415
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PISESPONG PATAMASUCON
Credentials
M.D.
Primary location
1524 PINTO LN FL 3
LAS VEGAS, NV 89106-4195
Phone: (702) 944-2828 Fax: (702) 944-2852
1 Other location(s):
2055 N High St Ste 380
Denver, CO 80205-5503
Phone: (303) 393-4300
Fax: (303) 832-7205
Mailing address
3016 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102-1973
Phone: (702) 780-2315 Fax: (702) 895-1014
Sole Proprietor
No
Updated
Certification Date
Feb 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PISESPONG PATAMASUCON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCO11780118
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0208X
- Pediatrics / Pediatric Infectious Diseases (Primary)
CO 56251

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.