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KONGKIET THAERA M.D.
NPI 1679537914
Pediatrics - Neonatal-Perinatal Medicine in Munster, IN

Active since April 13, 2006PECOS Enrolled
901 MACARTHUR BLVD, NEONATOLOGY DEPARTMENT, MUNSTER, IN 46321(219) 836-1600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kongkiet Thaera M.d. NPPES

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

KONGKIET THAERA M.D. (NPI 1679537914) is an individual neonatal-perinatal medicine provider in Munster, Indiana, licensed in Indiana (01029739A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679537914
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameKONGKIET THAERACredential: M.D.
Location Address901 MACARTHUR BLVD, NEONATOLOGY DEPARTMENTMunster, IN 46321-2901
Mailing Address9201 Calumet AveMunster, IN 46321-2807 · (219) 836-2022
Phone(219) 836-1600
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679537914 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 IN · 01029739A
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.
901 MACARTHUR BLVD, Munster, IN 46321
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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)

Kongkiet Thaera M.d. 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.

FARRUKH SALIM CHAUDHRY MD
Psychiatry & Neurology (Neurocritical Care)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
DR. ALEKSANDAR GORESKI M.D.
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1443
DR. AVRAM ESTES M.D.
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
MUNSTER MEDICAL RESEARCH FOUNDATION INC
General Acute Care Hospital
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
RICHARD HENRY LADAGA CRNA
Nurse Anesthetist, Certified Registered
901 MACARTHUR BLVD, ATTN ANESTHESIA
MUNSTER, IN 46321
Lake County (219) 836-7040
SUNNY PATEL MD
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1443
ESTEBAN E GOLOMBIEVSKI MD
Psychiatry & Neurology (Vascular Neurology)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1991
ZACHARY ROSENFELDT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
901 MACARTHUR BLVD, ATTN: PHARMACY DEPARTMENT
MUNSTER, IN 46321
Lake County (219) 703-4048

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 Kongkiet Thaera's NPI number?

The NPI number for Kongkiet Thaera is 1679537914. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Kongkiet Thaera located?

Kongkiet Thaera practices at 901 Macarthur Blvd Neonatology Department, Munster, IN 46321. The listed phone number is (219) 836-1600.

What is Kongkiet Thaera's specialty?

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

Is Kongkiet Thaera enrolled in Medicare?

Yes. Kongkiet Thaera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kongkiet Thaera 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.