Individual provider Active NPI

Warit Jithpratuck, MD

  • Allergy & Immunology Physician
  • Altamonte Springs, FL
National Provider Identifier
1942462924
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME128473 Issued in FL
Practice address
661 E Altamonte Dr Ste 315
Altamonte Springs, FL 32701-5103
Phone
(407) 339-3002
Fax
(407) 260-5039
NPI assigned
Jun 30, 2008
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Allergy & Immunology Physician 207K00000X ME128473 FL Primary
Internal Medicine Physician 207R00000X 101249541 VA
Internal Medicine Physician 207R00000X MD49723 TN

Addresses

Primary practice location

661 E Altamonte Dr Ste 315
Altamonte Springs, FL 32701-5103

Mailing address

661 E Altamonte Dr Ste 315
Altamonte Springs, FL 32701-5103
Phone (407) 339-3002

Other practice location 1

7758 Wallace Rd Ste J
Orlando, FL 32819-7218
Phone (407) 351-4328

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211115000961 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0840468146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Specialists PAGroup PAC ID 9537121645, 4 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5103
Phone (407) 339-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD49723TNMDInternal Medicine Physician
101249541VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Specialists, PA CurrentSince Aug 12, 2021 Accepting new patients
Cookeville Regional Medical Center Past Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients

Locations

661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701
Phone (407) 339-3002

3111 Citrus Tower Blvd
Ste A
Clermont, FL 34711
Phone (352) 243-6767

7758 Wallace Rd
Ste J
Orlando, FL 32819
Phone (407) 351-4328

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jithpratuck.warit.006.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: jithpratuck.warit.007.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: jithpratuck.warit.008.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: jithpratuck.warit.009.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: jithpratuck.warit.010.0090329@aass.meditab.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1942462924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015103",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015103",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7758 Wallace Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197218",
            "country_code": "US",
            "telephone_number": "407-351-4328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JITHPRATUCK",
        "first_name": "WARIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME128473",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "101249541",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD49723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.