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DR. SERIN PHRUTTITUM MD NPI 1831172451


NPI Information

NPI: 1831172451
Provider Name: DR. SERIN PHRUTTITUM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
12680 OLIVE BLVD
SUITE 300
CREVE COEUR, MO
ZIP 63141
Phone: (314) 251-8888
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DR. Serin Phruttitum, MD is a family medicine in Creve Coeur, MO with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Serin Phruttitum, MD NPI is 1831172451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

12680 OLIVE BLVD
SUITE 300
CREVE COEUR, MO
ZIP 63141-322
Phone: (314) 251-8888
Fax: (314) 251-8889

The NPI 1831172451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 11/29/2005 and was last updated on 11/12/2014.


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
1207Q00000XFamily Medicine4301070810MICHIGANNo
2207Q00000XFamily Medicine108455MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11399189OTHERMISSOURIAETNA
2431771217OTHERMISSOURIPROAMERICA
3431771217OTHERMISSOURIUNICARE PPO
4755719OTHERMISSOURIHEALTHLINK
5208486118MEDICAIDMISSOURI
62067362OTHERMISSOURIUNITED HEALTHCARE PPO/POS
7431771217OTHERMISSOURICCN PPO
8209864OTHERMISSOURIBC/BS PLANS
9431771217OTHERMISSOURIPHCS PPO/POS
10431771217OTHERMISSOURIVETERAN'S ADMIN
112067362OTHERMISSOURIUNITED HEALTHCARE SELECT
12700632OTHERMISSOURIMERCYCARE PLUS
13957185280MEDICARE PINMISSOURI
140108537OTHERMISSOURISECURE HORIZONS
15283073OTHERMISSOURIGHP
16431771217OTHERMISSOURIBCE EMERGIS (MULTIPLAN)
177797806OTHERMISSOURICIGNA
18H10214OTHERMISSOURIMERCY HEALTHPLAN
19431771217OTHERMISSOURICHOICE CARE HPPO/HUMANA
20431771217OTHERMISSOURIHEALTH NETWORK
21431771217OTHERMISSOURIHFN PPO
2265230OTHERMISSOURIHEATHCARE USA
23750900066OTHERMISSOURIBNDD
241399189OTHERMISSOURIAETNA PPO
25431771217OTHERMISSOURIGREAT WEST
26431771217OTHERMISSOURIUP&UP
27P00623861OTHERMISSOURIRAILROAD MEDICARE
28H10214MEDICARE UPINMISSOURI
29957183805MEDICARE PINMISSOURI

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.