Active NPI
Charurut Somboonwit, MD
- Infectious Disease Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME83811
- Practice address
- 1 Tampa General Cir # G318
Tampa, FL 33606-3571 - Phone
- (813) 844-4187
- Fax
- (813) 844-7605
- NPI assigned
- Oct 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME83811 | FL | Primary |
Addresses
Primary practice location
1 Tampa General Cir # G318
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 974-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265593400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csomboonwit8363@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050318000335 | FL | Practitioner - Infectious Disease | 0345295747 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Department of HealthUniversity Medical Service Association Inc
Practice addresses (Care Compare)
1105 E Kennedy Blvd
Hillsborough County Health Dep.
Tampa, FL 33602-3511
Phone 81330780156401
12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone (813) 821-8038
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (813) 821-8038
2 Tampa General Cir
Tampa, FL 33606-3603
Phone (813) 821-8038
2 Tampa General Circle
4TH Floor
Tampa, FL 33606-3603
Phone (813) 821-8038
Hospital & facility affiliations
- Tampa General Hospital
- H Lee Moffitt Cancer Center & Research Institute I
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME83811 | FL | MD | Infectious Disease Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients |
Locations
1749 Holt Rd
Auburndale, FL 33823
Phone (863) 965-6259
12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
2 Tampa General Cir
Fl 2
Tampa, FL 33606
Phone (813) 209-8596
8515 N Mitchell Ave
Tampa, FL 33604
Phone (813) 307-8047
1105 E Kennedy Blvd
Tampa, FL 33602
Phone (813) 307-8015
Networks
- Freedom Health HMO Network
Interoperability endpoints
- charurut.somboonwit@direct.moffitt.org
- csomboonwit8363@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 9
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.
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1073462628
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- Hematology & Oncology Physician
- Tampa, FL
- NPI 1306833595
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1245270164
-
- Public Health or Welfare Agency
- Lakeland, FL
- NPI 1396732541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1184612640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-974-2201",
"fax_number": "813-974-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR # G318",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-844-4187",
"fax_number": "813-844-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMBOONWIT",
"first_name": "CHARURUT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME83811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265593400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csomboonwit8363@direct.tgh.org",
"affiliation": "N",
"address_1": "1 Tampa General Cir # G318",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Emily Sherbondy Somanath, DNP CRNA
- Katelyn R Sommerer, PHARMD
- Hayley Nichole Sommers, APRN
- Keith Eric Sommers, MD
- Jovany Sommerville
- Somnomedics Medical Equipment LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.