Chaiyapat Charoonbara, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME128966 Issued in FL

Practice address

3360 Burns Rd
Palm Beach Gardens, FL 33410

Phone

(561) 622-1411

NPI assigned

Jan 11, 2011

Reactivated

Mar 27, 2019

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

Other names 1

• Dr. John Charoonbara Professional name

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

Anesthesiology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PBG Team Anesthesia PAGroup PAC ID 5092856757, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• PBG Team Anesthesia PA

  • Anesthesiology Physician
  • Palm Beach Gardens, FL
  • NPI 1861623316
  Medicare reassignment Care Compare group NPD
• South Florida Anesthesia & Pain Treatment, P.a.

  • Anesthesiology Physician
  • Coral Gables, FL
  • NPI 1528302866
  Medicare reassignment NPD
• Treasure Coast Anesthesia Group PA

  • Anesthesiology Physician
  • Stuart, FL
  • NPI 1013350875
  Medicare reassignment NPD
• F&S Radiology, P.C.

  • Diagnostic Radiology Physician
  • Sebring, FL
  • NPI 1518299957
  NPD (past)
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  NPD (past)

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

• Palm Beach Gardens Community Hospital, Inc.

  dba Palm Beach Gardens Medical Center

  • General Acute Care Hospital
  • Palm Beach Gardens, FL
  • NPI 1144251216
  Care Compare affiliation

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1861797565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-622-1411",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-622-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAROONBARA",
        "first_name": "CHAIYAPAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2019-03-27",
        "deactivation_date": "2018-10-30",
        "reactivation_date": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME128966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CHAROONBARA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charles S Theofilos MD
• Charles S. Theofilos MD PA (The Spine Center)
• Makepeace B Charles, D.D.S.
• Peterson Charles
• Edwiana Charlot
• Chase Dental Sleepcare of Palm Beach Gardens
• Melissa A Chasez, PA-C
• Chatsworth at Pga National LLC
• Chatsworth at Pga National, LLC (Chatsworth at PGA National)
• Chelsea Engel Aprn FNP-C LLC

• Anesthesiology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.