Individual provider Active NPI

Kornkanok Saringkarisate, MD

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1952928707
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MDR-7958 Issued in HI
Practice address
707 N Broadway
Baltimore, MD 21205-1832
Phone
(443) 923-9520
NPI assigned
Jun 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MDR-7958 HI Primary

Addresses

Primary practice location

707 N Broadway
Baltimore, MD 21205-1832

Mailing address

716 N Broadway FL 4
Baltimore, MD 21205-1806
Phone (443) 923-9520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230804000906 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1557722667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-7958HIMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: ksaringkarisate967191@direct.hopkinsmedicine.org
  • Direct secure messaging: ksaringkarisate39022@direct.kennedykrieger.org

NPI Registry JSON

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1952928707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N BROADWAY FL 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051806",
            "telephone_number": "443-923-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051832",
            "telephone_number": "443-923-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARINGKARISATE",
        "first_name": "KORNKANOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MDR-7958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.