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

Dr. Teerawit Supakorndej, MD

Individual provider Internal Medicine Physician · NPI 1336599208

Dr. Teerawit Supakorndej, MD is a Dermatology in Mill Creek, Washington. Graduated from Washington University School of Medicine in 2016, 10 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group and accepts Medicare assignment. Licensed in Missouri and Washington.

Years since qualifying
10
Trained at
Washington University School of Medicine
Licensed in
MO, WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

15418 Main St
Mill Creek, WA 98012-9030
Phone: (425) 339-5417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD61047461 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2016018207 (MO)

Record details

NPI number1336599208
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address7600 Evergreen Way, Everett, WA 98203-6421

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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