ALEXANDER TONTHAT (MD, MBA) – Gastroenterology Physician, NPI 1124522784

ALEXANDER TONTHAT (MD, MBA) is a healthcare provider. based in Los angeles, California. specializing in GASTROENTEROLOGY. They hold the professional credentials MD, MBA. They hold a License No. A164621 (CA). The NPI Number for ALEXANDER TONTHAT (MD, MBA) is 1124522784

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER TONTHAT (MD, MBA)
NPI
1124522784
Phone
(562) 262-1767
Address
1200 N State St.
Enumeration Date
20 March 2018
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5305328654
Graduation Year
2018 (8 years ago)
PAC ID
4385976604
Group Practice PAC ID
4082501192
Professional Enrollment ID
I20240827001773
Address ID
CA959666118OR2767X350X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

Provider Addresses for ALEXANDER TONTHAT (MD, MBA)

  • 1200 N State St.

    Clinic Tower, Suite A7D

    Los Angeles, CA 900331029

    Phone: (562) 262-1767

    Type: Location

  • 1200, North State Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    CLINIC TOWER, SUITE A7D

    LOS ANGELES, CA 900331029

    Phone: (562) 262-1767

    Type: Mailing

  • 1958 CRESCENT DR

    SIGNAL HILL, CA 907555600

    Phone: (562) 262-1767

    Type: Mailing

  • 2767 OLIVE HWY STE 9D

    OROVILLE, CA 959666118

    Phone: (530) 533-8500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($76).

Total Amount

$140

General + Research + Ownership

Payments

7

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240827001773IGastroenterologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082501192View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
General SurgeryCA
Physician AssistantCA
O P H T H A L M O L O G YCA
General SurgeryCA
Family PracticeCA
Internal MedicineNV
N E P H R O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CA
P O D I A T R YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALEXANDER TONTHAT (MD, MBA)?
ALEXANDER TONTHAT (MD, MBA) — NPI 1124522784 — is the standard way to identify this listing.
Can I rely on ALEXANDER TONTHAT (MD, MBA) being an active provider?
As of the registry snapshot, ALEXANDER TONTHAT (MD, MBA) is marked active.
What is ALEXANDER TONTHAT (MD, MBA) best known for clinically?
Directory data describes ALEXANDER TONTHAT (MD, MBA) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ALEXANDER TONTHAT (MD, MBA)?
ALEXANDER TONTHAT (MD, MBA)'s geographic hint is Los Angeles, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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