Montha Suphangul, MD - Internal Medicine in Evanston, IL

Montha Suphangul, MD is a Internal Medicine physician based in Evanston, Illinois. Montha Suphangul is licensed to practice in Illinois (license number 125052160) and her current practice location is 355 Ridge Ave, Evanston, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 316-4000.

NPI number for Montha Suphangul is 1548424229 and her current mailing address is 429 Custer Ave Apt 2g, Evanston, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548424229.

Contact Information

Montha Suphangul, MD
355 Ridge Ave,
Evanston, IL 60202-3328
(847) 316-4000
Not Available

Map and Direction




Physician's Profile

Full NameMontha Suphangul
GenderFemale
SpecialityInternal Medicine
Location355 Ridge Ave, Evanston, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548424229
  • Provider Enumeration Date: 07/11/2008
  • Last Update Date: 07/11/2008

Medical Identifiers

Medical identifiers for Montha Suphangul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548424229NPI-NPPES
XOF839694314OtherILBLUECROSS BLUESHIELD PPO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125052160 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Montha Suphangul is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Montha Suphangul, MD
429 Custer Ave Apt 2g,
Evanston, IL 60202-2975

Ph: (773) 273-5968
Montha Suphangul, MD
355 Ridge Ave,
Evanston, IL 60202-3328

Ph: (847) 316-4000

Reviews and Comments


Internal Medicine Doctors in Evanston, IL

James Francis Kelly, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201
Phone: 847-570-1010    Fax: 847-733-5108
Ashley Rachel Mohan, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave., Im/icu Hospitalists, Evanston, IL 60201
Phone: 847-570-1010    Fax: 847-733-5108
Andie Kwon, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201
Phone: 847-570-2700    Fax: 847-570-2822
Adela Kola, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201
Phone: 847-570-1010    Fax: 847-733-5108
Matthew R. Sherwood, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201
Phone: 847-570-1010    Fax: 847-733-5128
Dipika Oberoi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-2700    
Neal N. Dodia, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-982-3171    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.