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PORNTAWEE APHIVANTRAKUL
NPI 1124814785
Student in an Organized Health Care Education/Training Program in Great Falls, MT

Active since April 18, 2025PECOS Enrolled
1101 26TH ST S, GREAT FALLS, MT 59405(406) 455-5000 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Porntawee Aphivantrakul NPPES

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

PORNTAWEE APHIVANTRAKUL (NPI 1124814785) is an individual student in an organized health care education/training program in Great Falls, Montana and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124814785
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NamePORNTAWEE APHIVANTRAKUL
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing Address1101 26th St SGreat Falls, MT 59405-5161
Phone(406) 455-5000
Sole ProprietorYes
Enumeration DateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1124814785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1101 26TH ST S, Great Falls, MT 59405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Porntawee Aphivantrakul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

OMER USMAN MD
Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
EDMUND J BRENNAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
MRS. DELENE R LYNES OTA
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5412
DANIEL KNUFFKE
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 781-1305
KRISTIN HUNTOON D.O, PHD
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
PATRICK HUGH SMITH FNP-BC
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
DR. SAMANTHA ANNE BASCO PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5430
KELCIE LEE FOSHAG DO
Radiology (Diagnostic Radiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Porntawee Aphivantrakul's NPI number?

The NPI number for Porntawee Aphivantrakul is 1124814785. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Where is Porntawee Aphivantrakul located?

Porntawee Aphivantrakul practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5000.

What is Porntawee Aphivantrakul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Porntawee Aphivantrakul enrolled in Medicare?

Yes. Porntawee Aphivantrakul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Porntawee Aphivantrakul was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.