Doctor profile · Federal record
Dr. Thanapoom Boonipat
Plastic Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Plastic Surgery Physician · Plastic Surgery Physician · Fort Worth, TX
- NPI 1154852705
- Accepts Medicare
- 9 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1500 S Main St
Fort Worth, TX 761044917
(817) 702-1100 - Additional location
-
12505 Quaker Ave Ste A
Lubbock, TX 794247743
(603) 731-6888 - Additional location
-
525 Oak Centre Dr Ste 260
San Antonio, TX 782583945
(603) 731-6888 - Mailing address
-
Po Box 732973
Dallas, TX 753732973
Credentials & registration
- NPI registered
- March 2017 — 9 yrs on file
- Profile last updated
- December 20, 2024
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 208200000X — NUCC code
- State licenses (3)
- Texas #U9214 · Minnesota #28451 · Minnesota #64276
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154852705. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$13
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 1 | $13.47 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$17
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 11 | 0 | $17 |
Frequently asked questions
What is Dr. Thanapoom Boonipat's medical specialty?
Dr. Thanapoom Boonipat practices Plastic Surgery Physician in Fort Worth, TX.
Where does Dr. Thanapoom Boonipat practice?
Dr. Thanapoom Boonipat practices at 1500 S Main St, Fort Worth, TX 761044917. Office phone: 8177021100.
What is Dr. Thanapoom Boonipat's NPI?
Dr. Thanapoom Boonipat's National Provider Identifier (NPI) is 1154852705, issued by NPPES.
Does Dr. Thanapoom Boonipat accept Medicare assignment?
Yes. Dr. Thanapoom Boonipat accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.