Chutaporn Charnsangavej, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

42540 Issued in CO

Practice address

1411 S Potomac St
Suite 450
Aurora, CO 80012-4536

Phone

(303) 695-4800

Fax

(303) 695-4821

NPI assigned

Nov 10, 2006

Last updated

May 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.96 of 100Reported as group

Quality

78.58

Promoting interoperability

100

Improvement activities

40

Cost

74.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chutaporn.charnsangavej.p4@direct.clinicafamilyhealth.nextgenshare.com

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

• Portercare Adventist Health System

  dba Affiliated Ear, Nose & Throat Physicians

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  Medicare reassignment NPD
• Questcare Obstetrics Colorado LLC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1417295932

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Portercare Adventist Health System

  dba Aah Cypress Denver

  • Hematology & Oncology Physician
  • Denver, CO
  • NPI 1033546973
  NPD
• Portercare Adventist Health System

  dba AdventHealth Medical Group Urology at Lakewood

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Questcare Obstetrics Colorado LLC

  • Hospitalist Physician
  • Longmont, CO
  • NPI 1437821204
  NPD
• Clinica Campesina Family Health Services

  dba Clinica Campesina - Thornton

  • Federally Qualified Health Center (FQHC)
  • Thornton, CO
  • NPI 1093702177
  NPD (past)
• Portercare Adventist Health System

  dba Adventhealth Parker

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1386651297
  NPD (past)
• Portercare Adventist Health System

  dba Adventhealth Avista

  • General Acute Care Hospital
  • Louisville, CO
  • NPI 1891709192
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1174694483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST",
            "address_2": "SUITE 450",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124536",
            "telephone_number": "303-695-4800",
            "fax_number": "303-695-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST",
            "address_2": "SUITE 450",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124536",
            "telephone_number": "303-695-4800",
            "fax_number": "303-695-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNSANGAVEJ",
        "first_name": "CHUTAPORN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0042540",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CO",
            "license": "DR.0042540",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CO",
            "license": "42540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07552343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evguenia C Charles, PHARMD
• Isis Charles
• Jessica Shannon Charlston, RN
• Karli Dee Charlton, PA-C
• Margaret Charlton, PHD, ABPP
• Kira Charrier
• Alice L Chartier
• Carleen C Chartier, MD
• Adam Eugene Chartrand, CAA
• Sandra Chartrand, MD, FRCPC

• Legal Medicine in Aurora, CO
• Providers in Aurora, CO by specialty
• Legal Medicine in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.