NPIMap

Individual provider Active NPI

Boonsong Kiang Kitiwan, MD

  • Nephrology Physician
  • Hazard, KY
National Provider Identifier
1265619456
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
44085 Issued in KY
Practice address
200 Medical Center Dr
Hazard, KY 41701-9466
Phone
(606) 487-7991
Fax
(606) 439-6685
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 44085 KY Primary
Internal Medicine Physician 207R00000X P20819 MD

Addresses

Primary practice location

200 Medical Center Dr
Hazard, KY 41701-9466

Mailing address

200 Medical Center Dr
Hazard, KY 41701-9466
Phone (606) 487-7991

Other identifiers 1

IdentifierTypeStateIssuer
7100177330MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kitiwanboonsong@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000463 KY Practitioner - Nephrology 8527237031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

102 Medical Ctr Dr
Suite 101
Hazard, KY 41701-9421
Phone (606) 435-7200

110 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 487-7902

181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316

200 Medical Ctr Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

Hospital & facility affiliations

  • FMC - Hazard Dialysis facility, Hazard, KY, CCN 182517
  • FMC - Jackson Dialysis facility, Jackson, KY, CCN 182573
  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Mary Breckinridge Arh Hospital Hospital, Hyden, KY, CCN 181316
  • Whitesburg Arh Hospital Hospital, Whitesburg, KY, CCN 180002
  • Kentucky River Medical Center Hospital, Jackson, KY, CCN 181334

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P20819MDMDInternal Medicine Physician
44085KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Aug 11, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2011 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Internal Medicine Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Aug 11, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Center Dr
Ste 1J
Hazard, KY 41701
Phone (606) 436-5572

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

11087 Main St
Martin, KY 41649
Phone (606) 285-3690

Interoperability endpoints

  • Direct secure messaging: kitiwanboonsong@arh.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1265619456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7991",
            "fax_number": "606-439-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7991",
            "fax_number": "606-439-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITIWAN",
        "first_name": "BOONSONG",
        "middle_name": "KIANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "44085",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P20819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100177330",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kitiwanboonsong@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "200 Medical Center Dr",
            "city": "Hazard",
            "state": "KY",
            "country_code": "US",
            "postal_code": "417019466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.