Kasem Charnvitayapong, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME0073266 Issued in FL

Practice address

2221 SE Ocean Blvd
Suite 100
Stuart, FL 34996-3341

Phone

(772) 283-4428

NPI assigned

Sep 29, 2006

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

Other identifiers 1

Electronic endpoints 1

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

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Creighton University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary and Internal Medicine Associates IncGroup PAC ID 7315036779, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score

89.45 of 100Reported as group

Quality

76

Promoting interoperability

100

Improvement activities

40

Cost

78.28

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcharnvitayapong2497077@direct.ccf.org

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.

• Pulmonary & Internal Medicine Associates Inc

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1013009810

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Associates of Pulmonary Medicine LLC

  • Pulmonary Disease Physician
  • Port Saint Lucie, FL
  • NPI 1528697588
  NPD Authorized official
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1497847206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 SE OCEAN BLVD",
            "address_2": "SUITE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963341",
            "telephone_number": "772-283-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 SE OCEAN BLVD",
            "address_2": "SUITE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963341",
            "telephone_number": "772-283-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNVITAYAPONG",
        "first_name": "KASEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-01-07",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0073266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253176300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcharnvitayapong5037@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "2221 SE Ocean Blvd",
            "address_2": "Suite 100",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349963341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isaiah W Charles, RBT
• Judline Charles
• Roselaine Charles
• Nadine Charleus
• Adja Berth Charlot, BEHAVIOR ANALYST
• Charytin Maresco Adult Health Nurse Practitioner PC
• Chase Dental Sleep Care of Stuart LLC
• Courtney Jobson Chastain
• Stephen Lackey Chastain, M.D.
• Elizabeth K Chatellier, MA, RDN, LD

• Pulmonary Disease Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.