Active NPI
Thuntanat Rachanakul, MD
- Internal Medicine Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME110066
- Practice address
- 300 S Park Rd
Suite 400
Hollywood, FL 33021-8593 - Phone
- (954) 981-6383
- NPI assigned
- Jan 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME110066 | FL | Primary |
Addresses
Primary practice location
300 S Park Rd
Suite 400
Hollywood, FL 33021-8593
Mailing address
13878 Heaney Ave
Orlando, FL 32827-7528
Phone (732) 610-5905
Other names 1
- Dr. Jeerasak Rachanakul
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
Hospital & facility affiliations
- Adventhealth Daytona Beach
- Adventhealth Orlando
- Adventhealth Deland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME110066 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Florida, LLC | Current | Accepting new patients | |
| Coral Springs Physician Services, LLC | Current | Accepting new patients | |
| Rockledge Physician Services, LLC | Current | Accepting new patients | |
| Hospital Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Fort Lauderdale Physician Services, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Internal Medicine | Current | Accepting new patients |
Locations
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
300 S Park Rd
Ste 400
Hollywood, FL 33021
Phone (954) 265-7450
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Hospitalist Physician
- Lake Wales, FL
- NPI 1457646903
-
- Hospitalist Physician
- Coral Springs, FL
- NPI 1134673767
-
- Hospitalist Physician
- Fort Lauderdale, FL
- NPI 1497209027
-
- Hospitalist Physician
- Rockledge, FL
- NPI 1538523295
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Laredo, TX
- NPI 1942712252
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426377600000",
"number": "1346545282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13878 HEANEY AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277528",
"telephone_number": "732-610-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S PARK RD",
"address_2": "SUITE 400",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218593",
"telephone_number": "954-981-6383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHANAKUL",
"first_name": "THUNTANAT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-25",
"last_updated": "2015-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME110066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEERASAK",
"last_name": "RACHANAKUL",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.