Kitima Boonvisudhi
NPI 1134198005ActiveIndividual· Surgery· Albany, OR
Surgery in Albany, Oregon, trained at University of Pittsburgh School of Medicine (class of 1994). Medicare paid $7,057 for services to 39 patients in 2024. Medtronic, Inc. reported $101.66 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1134198005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Jan 27, 2025 |
| Certified by provider | Jan 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD167013 | OR |
| Surgery | 208600000X | 204411 | NY |
| Surgery | 208600000X | 59966 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 168 across 12 procedure codes |
| Paid by Medicare | $7,057 |
Education and affiliations
| Medical school | University of Pittsburgh School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | General Surgery |
Medical group
- Albany General HospitalAlbany, OR · 198 clinicians
Hospital affiliation
- Samaritan Albany General HospitalAlbany, OR
Industry payments (Open Payments)
- 2024$101.66 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $101.66 | 1 |
What the 2024 payments were for
- Food and Beverage$101.66 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Albany
- 1467718627
- 1821354085
- 1518296847
- 1417410747
- 1134184567
- 1124055215
- 1437578853
- 1427085513
- 1982631628
- 1104577956
- 1861811770