DR. SUPAWAT RATANAPO (M.D.) – Interventional Cardiology Physician, NPI 1255627923

DR. SUPAWAT RATANAPO (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101281156 (VA). The NPI Number for DR. SUPAWAT RATANAPO (M.D.) is 1255627923

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUPAWAT RATANAPO (M.D.)
NPI
1255627923
Phone
(706) 721-2736
Address
CARDIOLOGY DEVISION 1120 15TH ST
Enumeration Date
21 June 2011
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5402977181
Graduation Year
2007 (19 years ago)
PAC ID
0446541726
Group Practice PAC ID
4789606088
Professional Enrollment ID
I20240813002382
Address ID
VA241215281MO4830XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

234 INTERVENTIONAL CARDIOLOGY in GA

Provider Addresses for DR. SUPAWAT RATANAPO (M.D.)

  • CARDIOLOGY DEVISION 1120 15TH ST

    AUGUSTA, GA 309120001

    Phone: (706) 721-2736

    Type: Mailing

  • 1120 15TH ST

    AUGUSTA, GA 309125563

    Phone: (706) 721-2736

    Fax: (706) 721-5150

    Type: Location

  • 2410 ATHERHOLT RD

    LYNCHBURG, VA 245012148

    Phone: (434) 200-5252

    Fax: (434) 200-2851

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $16,807.

Total Amount is formed as General ($16,807) + Research ($0) + Ownership ($0) = $16,807.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Medtronic, Inc. ($10,730).

Total Amount

$16,807

General + Research + Ownership

Payments

116

Total payment records

General Amount

$16,807

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2024-08-13

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
I20240813002382IInterventional CardiologyVATBD

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 30912)

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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: 4789606088View full group profile
NameSpecialtyState
-VA
N E U R O L O G YMD
Internal MedicineVA
-VA
N E U R O S U R G E R YVA
Hospitalist, Family PracticeVA
Diagnostic RadiologyOH
Cardiac ElectrophysiologyVA
-SC
-VA

Reviews

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Frequently asked questions

Where can patients find DR. SUPAWAT RATANAPO (M.D.)'s NPI?
You can confirm DR. SUPAWAT RATANAPO (M.D.) with NPI 1255627923; it appears in the national provider directory.
Does this profile mean DR. SUPAWAT RATANAPO (M.D.) is currently active?
Yes — DR. SUPAWAT RATANAPO (M.D.) appears active in the national provider directory.
What does DR. SUPAWAT RATANAPO (M.D.) treat or focus on?
Patients typically see DR. SUPAWAT RATANAPO (M.D.) under the specialty Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SUPAWAT RATANAPO (M.D.)?
The page summarizes Augusta, Georgia for DR. SUPAWAT RATANAPO (M.D.); expand the address list for detail.
How can I contact DR. SUPAWAT RATANAPO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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