PHUKET TANTIVIT MD
NPI 1023186467
Pediatrics - Neonatal-Perinatal Medicine in Coral Gables, FL

Q: What is Phuket Tantivit's NPI number?

The NPI number for Phuket Tantivit is 1023186467. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Q: What is Phuket Tantivit's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: Is Phuket Tantivit enrolled in Medicare?

No. Phuket Tantivit has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Phuket Tantivit was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 02, 2006Opted out of Medicare · through May 10, 2028

5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 662-8668(305) 662-3723 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Phuket Tantivit Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHUKET TANTIVIT MD (NPI 1023186467) is an individual neonatal-perinatal medicine provider in Coral Gables, Florida, licensed in Florida (ME 80474) and active in the NPI registry since December 2006. He has opted out of Medicare through May 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023186467

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NamePHUKET TANTIVITCredential: MD

Location Address5955 PONCE DE LEON BLVDCoral Gables, FL 33146-2423

Mailing Address5955 Ponce De Leon BlvdCoral Gables, FL 33146-2423 · (305) 662-8668 · Fax (305) 662-3723

Phone(305) 662-8668

Fax(305) 662-3723

Sole ProprietorNo

Enumeration DateDecember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023186467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in FL · ME 80474

Definition

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.

5955 PONCE DE LEON BLVD, Coral Gables, FL 33146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Phuket Tantivit Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2016 through May 10, 2028.

Opt-Out Effective DateMay 10, 2016

Opt-Out In Effect ThroughMay 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NAURI ESTEFANI ABREU ROA M.D.

Pediatrics (Neonatal-Perinatal Medicine)