KONGKIET THAERA M.D. NPI 1679537914

NPI Information

  • NPI: 1679537914
  • Provider Name: KONGKIET THAERA, M.D.
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 901 MACARTHUR BLVD
    NEONATOLOGY DEPARTMENT
    MUNSTER, IN
    ZIP 46321
  • Phone: (219) 836-1600

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NPI Details

Kongkiet Thaera, M.D. is a neonatal-perinatal medicine pediatrics in Munster, IN. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Kongkiet Thaera, M.D. NPI is 1679537914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 MACARTHUR BLVD
NEONATOLOGY DEPARTMENT
MUNSTER, IN
ZIP 46321-901
Phone: (219) 836-1600

The NPI 1679537914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080N0001XPediatricsNeonatal-Perinatal Medicine01029739AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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