Active NPI
Dusit Wangkeo, M.D.
- Anesthesiology Physician
- Bronx, NY
National Provider Identifier
1699860783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 133216
- Practice address
- Our Lady of Mercy Medical Center
600 E. 233Rd Street, Dept. of Anesthesiology
Bronx, NY 10466 - Phone
- (718) 290-9510
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 133216 | NY | Primary |
Addresses
Primary practice location
Our Lady of Mercy Medical Center
600 E. 233Rd Street, Dept. of Anesthesiology
Bronx, NY 10466
Mailing address
Our Lady of Mercy Medical Center
600 E. 233Rd Street, Dept. of Anesthesiology
Bronx, NY 10466
Phone (718) 290-9510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00269952 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699860783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OUR LADY OF MERCY MEDICAL CENTER",
"address_2": "600 E. 233RD STREET, DEPT. OF ANESTHESIOLOGY",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-290-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OUR LADY OF MERCY MEDICAL CENTER",
"address_2": "600 E. 233RD STREET, DEPT. OF ANESTHESIOLOGY",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-290-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGKEO",
"first_name": "DUSIT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "133216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00269952",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.