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DR. KITTIMA BOONSIRISERMSOOK D.D.S.
NPI 1427166206
Dentist - Endodontics in Portsmouth, VA

Active since August 29, 2006PECOS Enrolled
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708(757) 953-8329 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2022, Apr 24, 2020 (2 updates tracked since 2020).

About Dr. Kittima Boonsirisermsook D.d.s. NPPES

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

DR. KITTIMA BOONSIRISERMSOOK D.D.S. (NPI 1427166206) is an individual endodontics provider in Portsmouth, Virginia, licensed in New York (052803-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1427166206
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KITTIMA BOONSIRISERMSOOKCredential: D.D.S.
Location AddressNAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLEPortsmouth, VA 23708
Mailing AddressNaval Medical Center Portsmouth, 620 John Paul Jones CirclePortsmouth, VA 23708
Phone(757) 953-8329
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1427166206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NY · 052803-1
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
NAVAL MEDICAL CENTER PORTSMOUTH, Portsmouth, VA 23708
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Secondary Practice Location 1

Location 18901 Wisconsin AveBethesda, MD 20889-0001 · Phone (301) 295-0145

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kittima Boonsirisermsook D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23708 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TYHEISHA KRYSTAL ROACH DDS
Dentist
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
NORFOLK, VA 23708
Portsmouth City (757) 953-8591
KASTLEY MARVIN
Otolaryngology (Pediatric Otolaryngology)
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2832
DALEY FAVO AUVIL MD
Pediatrics
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2339
DR. GREGORY GERARD CAPRA M.D.
Otolaryngology
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2800
DR. SUSAN CHRISTINE CLARK MD
Surgery
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9759
DR. ELIZABETH ORTIZ-NATOLI M.D.
Pediatrics
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-6336
DR. BRYAN M DAVIDSON PH.D.
Psychologist (Clinical)
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-6771
BRENDAN MICHAEL O'CONNOR M.D.
Radiology (Diagnostic Radiology)
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7550

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 Kittima Boonsirisermsook's NPI number?

The NPI number for Kittima Boonsirisermsook is 1427166206. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kittima Boonsirisermsook located?

Kittima Boonsirisermsook practices at Naval Medical Center Portsmouth 620 John Paul Jones Circle, Portsmouth, VA 23708. The listed phone number is (757) 953-8329.

What is Kittima Boonsirisermsook's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kittima Boonsirisermsook enrolled in Medicare?

Yes. Kittima Boonsirisermsook is registered in the Medicare PECOS enrollment system.

What insurance does Kittima Boonsirisermsook accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kittima Boonsirisermsook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kittima Boonsirisermsook was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.