Pornchai Kittivarakarn, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS14701 Issued in FL

Practice address

14000 Fivay Rd
Hudson, FL 34667-7103

Phone

(727) 819-2966

Fax

(727) 819-2928

NPI assigned

May 12, 2015

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Encompass Health Rehab Hospital of Spring Hill Inpatient rehabilitation facility, Brooksville, FL, CCN 103042
• Aviata at Spring Hill Nursing home, Brooksville, FL, CCN 105996
• Oak Hill Health & Rehabilitation Nursing home, Brooksville, FL, CCN 106145
• Aviata at Brooksville Nursing home, Brooksville, FL, CCN 105413

Merit-based Incentive Payment System (MIPS)

Final score

90.95 of 100Reported as group

Quality

78.21

Promoting interoperability

100

Improvement activities

40

Cost

77.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 99)

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: pornchai.kittivarakarn@hca4.eclinicaldirectplus.com

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.

• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment Care Compare group NPD
• Alliance Family Physicians, PA

  • Adult Medicine Physician
  • Gainesville, FL
  • NPI 1245289206
  Medicare reassignment NPD
• S M S DO PA

  dba Gulf Coast Medical Center

  • Family Medicine Physician
  • Port Richey, FL
  • NPI 1346244100

  Internal Medicine

  NPD (past)

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

• 12170 Cortez Blvd Opco LLC

  dba Aviata at Spring Hill

  • Skilled Nursing Facility
  • Brooksville, FL
  • NPI 1508638834

  Nursing home

  Care Compare affiliation
• 1445 Howell Ave Opco LLC

  dba Aviata at Brooksville

  • Skilled Nursing Facility
  • Brooksville, FL
  • NPI 1154193464

  Nursing home

  Care Compare affiliation
• Encompass Health Rehabilitation Hospital of Spring Hill, Inc.

  dba Encompass Health Rehabilitation Hospital of Spring Hill

  • Rehabilitation Hospital
  • Brooksville, FL
  • NPI 1699740373

  Inpatient rehabilitation facility

  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Oak Hill Hospital

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Bayonet Point Hospital

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation
• New Port Richey Hospital Inc

  dba HCA Florida Trinity Hospital

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation
• Oak Hill Health and Rehabilitation LLC

  dba Oak Hill Health and Rehabilitation

  • Skilled Nursing Facility
  • Brooksville, FL
  • NPI 1225625106

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1427436385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677103",
            "telephone_number": "727-819-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677103",
            "telephone_number": "727-819-2966",
            "fax_number": "727-819-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTIVARAKARN",
        "first_name": "PORNCHAI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS14701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ahmed Khan, DO
• Ramtin Khanipour, DO
• Joshua Bosley Kiba, PA
• Ayesha Falak Kietzman, PA
• Kylie Marie Kinsler, OTR/L
• Brindy Rose Klym, OTR/L
• Talisa S Knight
• Thomas Knobl, ARNP
• Brian J Kobitter, D.M.D.
• Candice Kochounian, ARNP

• Internal Medicine Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.

Verify at the official NPI Registry.