TANAKORN SONGRUG (MD) – Vascular & Interventional Radiology Physician, NPI 1073847455

TANAKORN SONGRUG (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 31053 (OK). The NPI Number for TANAKORN SONGRUG (MD) is 1073847455

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TANAKORN SONGRUG (MD)
NPI
1073847455
Phone
(918) 728-6194
Address
4500 S GARNETT RD
Enumeration Date
1 October 2009
Last Update Date
9 December 2019

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6143407740
Graduation Year
2009 (17 years ago)
PAC ID
7416184478
Group Practice PAC ID
8729976964
Professional Enrollment ID
I20150604000595
Address ID
OK741336979TU10205AVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

51 INTERVENTIONAL RADIOLOGY in OK

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Provider Addresses for TANAKORN SONGRUG (MD)

  • 4500, South Garnett Road East, Tulsa, Oklahoma, 74146, United States

    STE 300

    TULSA, OK 741465238

    Phone: (918) 728-6194

    Type: Mailing

  • Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States

    TULSA, OK 741279020

    Phone: (918) 935-3550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Stryker Corporation ($155).

Total Amount

$199

General + Research + Ownership

Payments

4

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2025-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20150604000595IInterventional RadiologyOKTBD
I20150615002064IDiagnostic RadiologyTXTBD
I20191227001348IInterventional RadiologyAZTBD
I20250124000640IDiagnostic RadiologyOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes208181$0
77001Fluoroscopic guidance for insertion or removal of central vein access device7873$0
77012Review by radiologist of ct guidance for needle placement6261$0
76937Ultrasonic guidance for blood vessel access4846$0
36558Insertion of tunneled central venous tube for infusion (5 years or older)4543$0
View full utilization report →

Insurance plans in this area (ZIP 74146)

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Provider's Procedures

TANAKORN SONGRUG (MD) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOK71010X-ray of chest, 1 view, front296254
DIAGNOSTIC RADIOLOGYOK73562X-ray of knee, 3 views1512
DIAGNOSTIC RADIOLOGYOK76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111
DIAGNOSTIC RADIOLOGYOK77012Radiological supervision and interpretation of CT guidance for needle insertion1716
DIAGNOSTIC RADIOLOGYOK93922Ultrasound study of arteries of both arms and legs2222

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: 8729976964View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyWI
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyMI
Diagnostic RadiologyNY
Diagnostic RadiologyOH
Diagnostic RadiologyMN
Diagnostic RadiologyOH

Reviews

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Frequently asked questions

What federal number belongs to TANAKORN SONGRUG (MD)?
The federal identifier for TANAKORN SONGRUG (MD) is NPI 1073847455.
Does this profile mean TANAKORN SONGRUG (MD) is currently active?
Yes — TANAKORN SONGRUG (MD) appears active in the national provider directory.
Does TANAKORN SONGRUG (MD) list a primary specialty?
If you are matching referrals, note Vascular & Interventional Radiology Physician for TANAKORN SONGRUG (MD). Clinical services aligned with this taxonomy classification.
What location shows for TANAKORN SONGRUG (MD)?
We surface Tulsa, Oklahoma for TANAKORN SONGRUG (MD) based on available NPPES addresses.
What if Tulsa, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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