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DR. KAILIP BOONRAI MD
NPI 1376238444
Internal Medicine in Ridgewood, NY

Active since April 05, 2023PECOS Enrolled
1140 SENECA AVE, RIDGEWOOD, NY 11385(718) 571-6300 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Apr 5, 2023 (2 updates tracked since 2023).

About Dr. Kailip Boonrai Md NPPES

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

DR. KAILIP BOONRAI MD (NPI 1376238444) is an individual internal medicine provider in Ridgewood, New York, licensed in New York (341301) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2023).

NPPES Registry Identity

NPI1376238444
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAILIP BOONRAICredential: MD
Location Address1140 SENECA AVERidgewood, NY 11385-6067
Mailing Address629 Park PlBrooklyn, NY 11238 · (914) 798-8971 · Fax (854) 300-4928
Phone(718) 571-6300
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2023
Enumeration DateApril 5, 2023
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1376238444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 341301
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1140 SENECA AVE, Ridgewood, NY 11385
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kailip Boonrai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890262737
PECOS Enrollment IDI20260721000618
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.

Medicare Billing Reassignment

Medicare enrollment records show Kailip Boonrai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Team Care Medical PLLC
3.4 mi
Primary Care
596 PROSPECT PL
Brooklyn, NY 11238
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
NPI 1093531691 (833) 252-2737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kailip Boonrai's NPI number?

The NPI number for Kailip Boonrai is 1376238444. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Kailip Boonrai located?

Kailip Boonrai practices at 1140 Seneca Ave, Ridgewood, NY 11385. The listed phone number is (718) 571-6300.

What is Kailip Boonrai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kailip Boonrai enrolled in Medicare?

Yes. Kailip Boonrai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kailip Boonrai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kailip Boonrai reassigns Medicare benefits to Team Care Medical PLLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kailip Boonrai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kailip Boonrai was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.