Individual provider Active NPI

Kunut Kijsirichareanchai, MD

  • Gastroenterology Physician
  • Pittsburgh, PA
National Provider Identifier
1386965580
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD475570 Issued in PA
Practice address
200 Delafield Rd Ste 2005
Upmc Gastroenterology
Pittsburgh, PA 15215-3234
Phone
(412) 784-1110
Fax
(412) 784-1181
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9705 SD
Gastroenterology Physician 207RG0100X MD475570 PA Primary

Addresses

Primary practice location

200 Delafield Rd Ste 2005
Upmc Gastroenterology
Pittsburgh, PA 15215-3234

Mailing address

200 Delafield Rd Ste 2005
Upmc Gastroenterology
Pittsburgh, PA 15215-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20160910000287 SD Practitioner - Gastroenterology 1254563638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians

Practice addresses (Care Compare)

1211 S Grange Ave
Sioux Falls, SD 57105-0402
Phone (605) 328-8500

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2100

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6889NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Gastroenterology CurrentSince Jul 25, 2016 Accepting new patients
Sanford Clinic CurrentSince Jul 25, 2016 Accepting new patients
Sanford Medical Center CurrentSince Jul 25, 2016 Accepting new patients
Sanford Clinic Current Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

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.

Hospital & facility affiliations 3

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1386965580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DELAFIELD RD STE 2005",
            "address_2": "UPMC GASTROENTEROLOGY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DELAFIELD RD STE 2005",
            "address_2": "UPMC GASTROENTEROLOGY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153234",
            "telephone_number": "412-784-1110",
            "fax_number": "412-784-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIJSIRICHAREANCHAI",
        "first_name": "KUNUT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SD",
            "license": "9705",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD475570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.