Kobkit Putrakul, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

41570 Issued in KY

Practice address

210 Marie Langdon Dr
Manchester, KY 40962

Phone

(606) 598-5104

Fax

(606) 983-7252

NPI assigned

Jan 10, 2008

Last updated

Jul 17, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

State licenses

Practice roles

Locations

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.

• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  dba Physician Services of Memorial Hospital

  • Specialist
  • Manchester, KY
  • NPI 1831150119

  Emergency Medicine

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Memorial Hospital Inc.

  dba AdventHealth Manchester

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827

  Family Medicine

  NPD
• Memorial Hospital, Inc.

  dba Glenndale Medical Care

  • Multi-Specialty Clinic/Center
  • Manchester, KY
  • NPI 1033510961
  NPD
• JMHC Inc

  dba Nicholas County Rural Health Clinic

  • Rural Health Clinic/Center
  • Carlisle, KY
  • NPI 1093042038
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1699951558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GREENWAY DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411629",
            "telephone_number": "606-401-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "40962",
            "telephone_number": "606-598-5104",
            "fax_number": "606-983-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTRAKUL",
        "first_name": "KOBKIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "41570",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkway Medical Clinic
• Jamilyn Parrigan, LCADC, LPCA, NCC
• Paula Gill, D.M.D Family Dentistry
• Sandra Pennington, APRN
• Pharmacare of Ky, Inc
• Jenna Fay Ramsey, PHARMD
• Ashley Rayann Reams
• Rice and Associates, Inc.
• Angela Yvonne Rice, DO
• Vanda Laura Rice

• Emergency Medicine Physician in Manchester, KY
• Providers in Manchester, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.