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

Pornchanok Tam Kheocha-On, NP

Individual provider Plastic Surgery Physician · NPI 1528770625

Pornchanok Tam Kheocha-On, NP is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2022, 4 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
4
Licensed in
DC
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone: (202) 444-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP1041368 (DC)
Plastic Surgery Physician Taxonomy 208200000X · Licence NP1041368 (DC)

Record details

NPI number1528770625
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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