Active NPI
Sakkapol Ongwijitwat, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 01073887A
- Practice address
- 7930 N Shadeland Ave
Indianapolis, IN 46250-2041 - Phone
- (317) 621-6725
- Fax
- (317) 621-4545
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 01073887A | IN | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 01073887A | IN |
Addresses
Primary practice location
7930 N Shadeland Ave
Indianapolis, IN 46250-2041
Mailing address
6626 E. 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01347726 | Other | IN | MEDICARE RR PTAN |
| 201226670 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | songwijitwat121915@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Wisconsin, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2390 National Rd W
Richmond, IN 47374-4625
7930 N Shadeland Ave
Indianapolis, IN 46250-2942
Phone (317) 588-2663
Hospital & facility affiliations
- Community Health at Home LLC
- Community Hospital North
- Community Hospital East
- Community Hospital South, Inc.
- Community Hospital of Anderson and Madison County
- Community Howard Regional Health Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 79 |
| Knee replacement | 79 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1400 N Ritter Ave
Ste 510
Indianapolis, IN 46219
Phone (317) 355-2050
1400 N Ritter Ave
Ste 351
Indianapolis, IN 46219
Phone (317) 355-2663
7930 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 621-6725
7930 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-6725
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
19800 East St
#120
Westfield, IN 46074
Phone (317) 621-7120
Interoperability endpoints
- songwijitwat121915@ecommunitydirect.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Physical Therapist
- Richmond, IN
- NPI 1497794846
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Indianapolis, IN
- NPI 1730646589
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1356547095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E. 75TH STREET",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502041",
"telephone_number": "317-621-6725",
"fax_number": "317-621-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONGWIJITWAT",
"first_name": "SAKKAPOL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "IN",
"license": "01073887A",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01073887A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PTAN",
"identifier": "P01347726",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201226670",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "songwijitwat121915@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "7930 N Shadeland Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462502041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.