Chotinij Lertphanichkul, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

274825 Issued in MA

Practice address

850 Boylston St Ste 437
Chestnut Hill, MA 02467-2405

Phone

(617) 732-9090

Fax

(917) 232-1043

NPI assigned

Jun 27, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1831684224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EMERSON PL APT 3J",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142218",
            "telephone_number": "617-320-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BOYLSTON ST STE 437",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672405",
            "telephone_number": "617-732-9090",
            "fax_number": "917-232-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERTPHANICHKUL",
        "first_name": "CHOTINIJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "274825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Heijung Lee, MD
• Maira Caldas Legage, LICSW
• Lindsay Lehtonen, ATC
• Anthony Lem, PTA
• Bert T Lenz, LATC
• Donald B Levy, MD
• Amy Li
• Belle Liang, PH.D.
• Ying Liang
• Taryn Ann Lieberman, MD

• Dermatology Physician in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.