Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charoen Mankongpaisarnrung, MD

Individual provider Gastroenterology Physician · NPI 1649567926

Dr. Charoen Mankongpaisarnrung, MD is a Gastroenterology in Saint Paul, Minnesota. Qualified in 2007, 19 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in District of Columbia, Minnesota and South Dakota.

Years since qualifying
19
Licensed in
DC, MN, SD
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone: (651) 254-8680
Fax: (651) 254-8656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3800 Reservoir Rd Nw, Washington, DC 20007-2113 — (202) 444-3632
  • 1205 S Grange Ave Ste 104, Sioux Falls, SD 57105-0414 — (605) 328-8500

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 70746 (MN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 10178 (SD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD042302 (DC)

Record details

NPI number1649567926
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2011
Last updated in NPPESJuly 21, 2022
Certification dateJune 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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