Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Nutaporn Sukontasup, OD
Optometrist in Fulton, MD · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104930817
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Registry record
Entity type Individual (Type 1)
Name Dr. Nutaporn Sukontasup
Credential OD
Sex Female
Practice address 8115 Maple Lawn Blvd, Suite 135, Fulton, MD, 20759
Phone (443) 804-1173
Enumeration date Aug 18, 2006
Last updated in NPPES Jan 15, 2017
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11431664 | Other | - | CAQH |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1104930817 active?
Yes, as of the latest NPPES snapshot, NPI 1104930817 is active (record last updated 2017-01-15).
How do I verify Nutaporn Sukontasup's NPI record?
Cross-check NPI 1104930817 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Susan Lathrop Optometrist · Fulton, MD NPI 1255371407 Samantha Swords Family Medicine Physician · Fulton, MD NPI 1013327923 Saudy Kanu Psychiatric/Mental Health Nurse Practitioner · Fulton, MD NPI 1215701321 Johns Hopkins Community Physicians Internal Medicine Physician · Fulton, MD NPI 1932929478 Stefanie Cokley Family Nurse Practitioner · Fulton, MD NPI 1366235376 Surgipa Health, LLC Surgical Physician Assistant · Fulton, MD NPI 1881578870
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-15.