DR. SUWONG WONGSUWAN (MD) – Cardiovascular Disease Physician, NPI 1497700975

DR. SUWONG WONGSUWAN (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. MD39949 (WA). The NPI Number for DR. SUWONG WONGSUWAN (MD) is 1497700975

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUWONG WONGSUWAN (MD)
NPI
1497700975
Phone
(509) 897-2600
Address
PO BOX 32
Enumeration Date
23 May 2006
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098972500
Graduation Year
1986 (40 years ago)
PAC ID
5193816270
Group Practice PAC ID
2860552973
Professional Enrollment ID
I20070803000028
Address ID
WA993622846WA401XXSTXX400

Contacts

Secure Messaging
swongsuwan186261@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness95
Years active:20State licenses:2Other names

637 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WA

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Provider Addresses for DR. SUWONG WONGSUWAN (MD)

  • 32, Liberty Drive, Valley Forge, Woodbury, Town of Woodbury, Orange, New York, 10930, United States

    LIBERTY LAKE, WA 990190032

    Phone: (509) 897-2600

    Fax: (509) 897-5747

    Type: Mailing

  • Providence Saint Mary Medical Center, 401, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    ST MARY MEDICAL CENTER, CARDIOLOGY SUITE

    WALLA WALLA, WA 993622846

    Phone: (509) 897-2600

    Fax: (509) 897-5747

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $2,149.

Total Amount is formed as General ($2,149) + Research ($0) + Ownership ($0) = $2,149.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Medtronic, Inc. ($1,744).

Total Amount

$2,149

General + Research + Ownership

Payments

18

Total payment records

General Amount

$2,149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2007-08-03

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
I20070803000028ICardiovascular Disease (Cardiology)WATBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,7441,475$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days1,246456$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days1,087400$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function973928$0
99214Established patient office or other outpatient visit, 30-39 minutes639499$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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Provider's Procedures

DR. SUWONG WONGSUWAN (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)WA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies222221
CARDIOVASCULAR DISEASE (CARDIOLOGY)WA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report233173
CARDIOVASCULAR DISEASE (CARDIOLOGY)WA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart6565

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: 2860552973View full group profile
NameSpecialtyState
Emergency MedicineCO
Hospitalist, Internal MedicineUT
Nurse PractitionerWA
Internal Medicine, HospitalistID
N E U R O L O G YOR
Family PracticeWA
-WA
Emergency MedicineWA
Physical Therapist In Private PracticeWA
Nurse PractitionerWA

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Frequently asked questions

What NPI should I save for DR. SUWONG WONGSUWAN (MD)?
Save NPI 1497700975 if you need a stable reference for DR. SUWONG WONGSUWAN (MD).
Is DR. SUWONG WONGSUWAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. SUWONG WONGSUWAN (MD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for DR. SUWONG WONGSUWAN (MD). Clinical services aligned with this taxonomy classification.
Where is DR. SUWONG WONGSUWAN (MD)'s primary listing?
We display Liberty Lake, Washington because that is what the record indicates for DR. SUWONG WONGSUWAN (MD).
What if Liberty Lake, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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