TOSSAPORN SEEHERUNVONG (MD) – Pediatric Endocrinology Physician, NPI 1174604441

TOSSAPORN SEEHERUNVONG (MD) is a healthcare provider. based in Miami, Florida. specializing in Pediatric Endocrinology Physician. They hold the professional credentials MD. They hold a License No. ME96632 (FL). The NPI Number for TOSSAPORN SEEHERUNVONG (MD) is 1174604441

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
TOSSAPORN SEEHERUNVONG (MD)
NPI
1174604441
Phone
(305) 243-4029
Address
1601 NW 12TH AVE
Enumeration Date
17 October 2006
Last Update Date
29 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
5294831665
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20070501000334
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for TOSSAPORN SEEHERUNVONG (MD)

  • 1601, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 243-4029

    Fax: (305) 243-6309

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-05-01

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
I20070501000334IPediatric MedicineFLTBD

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 33136)

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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: 3274795109View full group profile

Reviews

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Frequently asked questions

How is TOSSAPORN SEEHERUNVONG (MD) identified in CMS data?
CMS-hosted NPPES data lists TOSSAPORN SEEHERUNVONG (MD) with NPI 1174604441.
Is TOSSAPORN SEEHERUNVONG (MD) listed as active for patients and plans?
The listing shows TOSSAPORN SEEHERUNVONG (MD) as active in the NPI system.
What is TOSSAPORN SEEHERUNVONG (MD) best known for clinically?
Directory data describes TOSSAPORN SEEHERUNVONG (MD) with Pediatric Endocrinology Physician. Clinical services aligned with this taxonomy classification.
Where is TOSSAPORN SEEHERUNVONG (MD) based?
TOSSAPORN SEEHERUNVONG (MD) is tied to Miami, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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