Theodore Inthaphom, - Medicare Physician Assistant in Houston, TX

Theodore Inthaphom, is a medicare enrolled "Physician Assistant - Medical" in Houston, Texas. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ut Physicians and his current practice location is 6400 Fannin St Ste 1700, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 554-4173.

Theodore Inthaphom is licensed to practice in Texas (license number PA13459) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689202475.

Contact Information

Theodore Inthaphom,
6400 Fannin St Ste 1700,
Houston, TX 77030-1526
(682) 554-4173
Not Available

Map and Direction




Provider's Profile

Full NameTheodore Inthaphom
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location6400 Fannin St Ste 1700, Houston, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theodore Inthaphom graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1689202475
  • Provider Enumeration Date: 03/29/2020
  • Last Update Date: 08/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082034905
  • Enrollment ID: I20201015000185

Medical Identifiers

Medical identifiers for Theodore Inthaphom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689202475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA13459 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Physicians84269603601400

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. Theodore Inthaphom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore Inthaphom,
6400 Fannin St Ste 1700,
Houston, TX 77030-1526

Ph: (682) 554-4173
Theodore Inthaphom,
6400 Fannin St Ste 1700,
Houston, TX 77030-1526

Ph: (682) 554-4173

Reviews and Comments


Physician Assistant Nurses in Houston, TX

Juliette A. Zumwalt, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7401 S. Main, Houston, TX 77030
Phone: 713-799-2300    Fax: 713-794-3380
Kaye-ann Antonette Christie, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1504 Taub Loop, Houston, TX 77030
Phone: 713-873-2000    
Letosha Mcclellan, CST/CFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 7324 Sw Freeway, Suite 1550, Suite 250, Houston, TX 77074
Phone: 713-779-9800    Fax: 713-779-9813
Mrs. Rachel Kramer Futrell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Holcombe Blvd, Houston, TX 77030
Phone: 713-792-6161    
Emily Marie Webster, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1504 Taub Loop, Houston, TX 77030
Phone: 713-873-8890    
Erica Jimenez, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Holcombe Blvd, Houston, TX 77030
Phone: 713-792-6161    
Nina Rajendra Patel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Holcombe Blvd, Houston, TX 77030
Phone: 713-792-6161    

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.