NUTTAVUT SUMRANSUB M.D.
NPI 1003470568
Student in an Organized Health Care Education/Training Program in Boston, MA
NPI Status: Active since April 30, 2019
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About NUTTAVUT SUMRANSUB
This page provides the complete NPI Profile along with additional information for Nuttavut Sumransub, a primary care provider established in Boston, Massachusetts with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1003470568 assigned on April 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1003470568
- Provider Name
- NUTTAVUT SUMRANSUB M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 450 BROOKLINE AVE BOSTON, MA 02215
- Location Phone
- (877) 442-3324
- Mailing Address
- 450 BROOKLINE AVE BOSTON, MA 02215
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-30-2019
- Last Update Date
- 07-01-2025
- Code Navigator
A primary care provider (PCP) like Nuttavut Sumransub sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Nuttavut Sumransub is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 4 | 7 | 0 | 5 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 8 | 7 | 0 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 8 + 7 + 0 + 5 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1003470568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942297189 | DR. RACHEL ANN FREEDMAN M.D. Individual | Internal Medicine | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 632-6973 |
| 1659361327 | DR. ROBERT JAMES MAYER MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA FARBER CANCER INSTITUTE, D-1608 BOSTON, MA 02215 (617) 632-3474 |
| 1942282041 | DR. JOSEPH O JACOBSON MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE, D1234 BOSTON, MA 02215 (617) 632-3468 |
| 1164401626 | DR. DAVID BARBIE MD Individual | Internal Medicine (Hematology & Oncology) | 450 BROOKLINE AVE DANA 1234 BOSTON, MA 02215 (617) 632-3468 |
| 1295706224 | DR. DAVID R D'ADAMO MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 632-5204 |
| 1922079870 | DEBORAH SCHRAG MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 582-8301 |
| 1295707529 | DAVID M WEINSTOCK MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 632-4245 |
| 1346217932 | RANI E GEORGE MD PHD Individual | Pediatrics (Pediatric Hematology-Oncology) | 450 BROOKLINE AVE DANA 322 DEPT OF PEDIATRIC ONCOLOGY BOSTON, MA 02215 (617) 632-5281 |
| 1841267093 | DR. GEORGE D DEMETRI MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DFCI, D1212 BOSTON, MA 02215 (617) 632-3985 |
| 1407824659 | JEROME RITZ MD Individual | Internal Medicine (Hematology) | 450 BROOKLINE AVE M530, DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3465 |
| 1629046776 | LEROY MONROE PARKER MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3427 |
| 1346209731 | DR. RICHARD D. GOLDSTEIN MD Individual | Pediatrics (Hospice and Palliative Medicine) | 450 BROOKLINE AVE SW411 BOSTON, MA 02215 (617) 632-6637 |
| 1578523866 | BRUCE EVAN JOHNSON MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-4790 |
| 1457313652 | WILLIAM CHUN HAHN MD PHD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-2641 |
| 1326001215 | ROBERT LAWRENCE SCHLOSSMAN MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE M229 BOSTON, MA 02215 (613) 632-5126 |
| 1639239668 | MRS. KRISTIN LOUISE MANGADA Individual | Nurse Practitioner | 450 BROOKLINE AVE D315 BOSTON, MA 02215 (617) 632-3796 |
| 1518029545 | DR. PETER S. HAMMERMAN MD, PHD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3000 |
| 1073677209 | TONI K CHOUEIRI M.D. Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE D1230 BOSTON, MA 02215 (617) 632-5456 |
| 1811048333 | DR. SUSAN MOODY M.D., PH.D. Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3000 |
| 1285760934 | DR. NADINE JACKSON MC CLEARY MD, MPH Individual | Internal Medicine (Hematology & Oncology) | 450 BROOKLINE AVE D1220 BOSTON, MA 02215 (617) 632-6729 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003470568, enumerated in the NPI registry as an "individual" on April 30, 2019
The provider is located at 450 Brookline Ave Boston, Ma 02215 and the phone number is (877) 442-3324
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 30, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.