Orn-USA Boonprakong – Emergency Medicine Physician

Key facts

NPI: 1164513917
Entity type: Individual (NPI type 1)
Primary specialty: Emergency Medicine Physician 207P00000X
License: ME172116 (FL)
Practice address: 3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone: (808) 432-0000
NPI assigned: Sep 27, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 74

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Central Washington Health Services Association General Acute Care Hospital · Wenatchee, WA · NPI 1881642239

Medicare reassignment Care Compare group NPD HI
Wellspan Medical Group Gastroenterology Physician · York, PA · NPI 1669770004

Medicare reassignment Care Compare group NPD PA
Ochsner Clinic LLC General Practice Physician · New Orleans, LA · NPI 1538151428

Medicare reassignment Care Compare group NPD (past) LA
Centracare Clinic Multi-Specialty Clinic/Center · St Cloud, MN · NPI 1043212665

Medicare reassignment Care Compare group MN
Deaconess Specialty Physicians, Inc Cardiovascular Disease Physician · Evansville, IN · NPI 1306344817

Medicare reassignment Care Compare group IN
Svmhs Clinics Multi-Specialty Clinic/Center · Salinas, CA · NPI 1093158347

Medicare reassignment Care Compare group CA
Hawaii Permanente Medical Group Inc Health Maintenance Organization · Honolulu, HI · NPI 1710945969

Medicare reassignment NPD HI
Allina Health System Family Medicine Physician · Annandale, MN · NPI 1457657249

Medicare reassignment NPD MN
Orlando Health Medical Group Inc Internal Medicine Physician · Orlando, FL · NPI 1669429577

Medicare reassignment NPD FL
Ochsner Clinic LLC Registered Dietitian · Covington, LA · NPI 1013747039

Care Compare group NPD
Doctronic Physicians Group General Practice Physician · San Francisco, CA · NPI 1790578466

Medicare reassignment CA
Ochsner Mississippi, LLC Internal Medicine Physician · Bay Saint Louis, MS · NPI 1538674239

Medicare reassignment MS
Centracare Clinic Multi-Specialty Clinic/Center · Big Lake, MN · NPI 1013104348

Care Compare group
Centracare Clinic Multi-Specialty Clinic/Center · St Joseph, MN · NPI 1134121759

Care Compare group
Centracare Clinic Clinic/Center · Saint Cloud, MN · NPI 1164978219

Care Compare group
Centracare Clinic Multi-Specialty Clinic/Center · Saint Cloud, MN · NPI 1225030844

Care Compare group
Centracare Clinic Primary Care Clinic/Center · Clearwater, MN · NPI 1255853115

Care Compare group
Centracare Clinic Multi-Specialty Clinic/Center · Saint Cloud, MN · NPI 1407858020

Care Compare group
Centracare Clinic Primary Care Clinic/Center · St Cloud, MN · NPI 1659425114

Care Compare group
Centracare Clinic Primary Care Clinic/Center · Saint Cloud, MN · NPI 1669994315

Care Compare group
Centracare Clinic Primary Care Clinic/Center · Sartell, MN · NPI 1689196339

Care Compare group
Centracare Clinic Urology Physician · Sartell, MN · NPI 1700281953

Care Compare group
Centracare Clinic Multi-Specialty Clinic/Center · Becker, MN · NPI 1710048590

Care Compare group
Centracare Clinic Multi-Specialty Clinic/Center · Sartell, MN · NPI 1780125849

Care Compare group
Centracare Clinic Multi-Specialty Clinic/Center · Saint Cloud, MN · NPI 1881696490

Care Compare group

View all 74

Medicare Care Compare profile

Specialty: Emergency Medicine
Education: Other, 2001
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Central Washington Health Services Association (708 clinicians)
Wellspan Medical Group (2,438 clinicians)
Ochsner Clinic LLC (2,845 clinicians)
Centracare Clinic (800 clinicians)
Allina Health System (3,844 clinicians)
Svmhs Clinics (258 clinicians)
Deaconess Specialty Physicians, Inc (228 clinicians)

Practice addresses (Care Compare)

Honolulu, HI 96821
Phone (509) 662-1511

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-5198

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 252-2422

25 Monument Rd
York, PA 17403-5073

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

355 Abbott St
Suite 100
Salinas, CA 93901-4484
Phone (831) 751-7070

4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-9460
Phone (812) 842-2737

Medicare participation

Medicare fee-for-service enrollment: Enrolled (8 enrollments) in HI, PA, MN, LA, MS, FL, CA, IN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20050722000638	HI	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 2 organizations
I20250827001431	PA	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 1 organization
I20250915001555	MN	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 2 organizations
I20260118000073	LA	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 1 organization
I20260217000547	MS	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 1 organization
I20260227003778	FL	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 1 organization
I20260323001103	CA	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 2 organizations
I20260428000684	IN	Practitioner - Emergency Medicine	7012944861	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
ME172116	FL	MD	Emergency Medicine Physician
0101284393	VA	MD	Emergency Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Wellspan Medical Group		Current since Sep 22, 2025	Accepting new patients
Orlando Health Medical Group Inc		Current since Feb 1, 2026	Accepting new patients
Allina Health System		Current since Sep 15, 2025	Accepting new patients
Ochsner Clinic LLC		Current since Dec 31, 2025	Accepting new patients
Ochsner Mississippi, LLC		Current since Jan 10, 2026	Accepting new patients
Ochsner Mississippi, LLC		Current since Jan 10, 2026	Accepting new patients
Allina Health System		Current	Accepting new patients
Orlando Health Medical Group Inc		Current since Feb 1, 2026	Accepting new patients
Wellspan Medical Group		Current	Accepting new patients
Central Washington Health Services Association		Current since Sep 1, 2025	Accepting new patients
Wellspan Medical Group		Current since Sep 22, 2025	Accepting new patients
Hawaii Permanente Medical Group Inc		Current since Mar 5, 2018	Accepting new patients
Allina Health System		Current since Sep 15, 2025	Accepting new patients
Ochsner Clinic LLC		Current since Dec 31, 2025	Accepting new patients
Ozark Tri-County Health Care Consortium		Past	Accepting new patients
Cloud Health Medical Group of California, P.C.		Past	Accepting new patients
Midpacific Hospitalists LLC		Past	Accepting new patients
Ochsner Clinic LLC		Past	Accepting new patients
Sentara Medical Group		Past	Accepting new patients
Cloud Health Medical Group, P.a.		Past	Accepting new patients
Hawaii Emergency Physicians Associated Inc	Emergency Medicine	Past since Nov 1, 2012	Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

1514 Jefferson Hwy
New Orleans, LA 70121

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Emergency Medicine Physician	207P00000X	0101284393	VA
Emergency Medicine Physician	207P00000X	78787	MN
Emergency Medicine Physician	207P00000X	MD-13271	HI
Emergency Medicine Physician	207P00000X	ME172116	FL	Yes

Addresses

Primary practice location

3288 Moanalua Rd
Honolulu, HI 96819-1469

Mailing address

52 Underwood St
Orlando, FL 32806-1110
Phone (888) 805-0085

Other practice location 1

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Other practice location 2

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 241-9700

Other practice location 3

1401 Roosevelt Ave
York, PA 17404-2244
Phone (877) 232-5807

Other practice location 4

52 underwood st
orlando, FL 32806-1110
Phone (888) 805-0085

Other identifiers

Identifier	Type	State	Issuer
567927	Medicaid	HI
0000253146	Other	HI	HMSA

Electronic endpoints

Type	Endpoint	Use	Affiliation
SOAP URL	https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways	Health Information Exchange (HIE)

Other providers in Honolulu, HI

Weilin Bono, DDS
Eliza Bonura
Chiara Bonvini, MS PT
Peter M. Boolukos, M.D.
Jennifer Hardt Boomsma, M.S.
Gilmer Borbo, M.S., CCC-SLP
Emily S Bordner, D.D.S.
Kelsie Pascual Bordonada, RN, MSN, AGACNP-BC
Ghialana Borges
Jo Ann Borges

All providers in Honolulu, HI · Emergency Medicine Physician in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.