Somsak Bhitiyakul, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

111158 Issued in NY

Practice address

368 Broadway
Suite 201
Kingston, NY 12401-5160

Phone

(845) 339-5811

Fax

(845) 339-0708

NPI assigned

Sep 13, 2006

Last updated

Mar 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Somsak Bhitiyakul, M.D., P.C.

  • Internal Medicine Physician
  • Kingston, NY
  • NPI 1174628945
  Authorized official Same address or phone

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1366547663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 BROADWAY",
            "address_2": "SUITE 201",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015160",
            "telephone_number": "845-339-5811",
            "fax_number": "845-339-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BROADWAY",
            "address_2": "SUITE 201",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015160",
            "telephone_number": "845-339-5811",
            "fax_number": "845-339-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHITIYAKUL",
        "first_name": "SOMSAK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "111158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00199179",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PIN",
            "identifier": "566191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Emma Bessette, NP
• Diane H. Bethune, ATR, LCAT, CASAC
• Robert Andrew Beyer, PH.D.
• BG Management Group LLC
• Sumeet Bhinder, MD
• David Biasotti, MASSAGE THERAPIST
• Kathleen Bibbo, RPH
• Kimberly Rice Bickel, AGPCNP-BC
• Alyssa Bigando
• John Bilello, RPH

• Nephrology Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.