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DR. MAKHAWADEE PONGRUANGPORN MD
NPI 1801054838
Internal Medicine - Infectious Disease in Louisville, KY

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4950 NORTON HEALTHCARE BLVD, STE.303, LOUISVILLE, KY 40241(502) 394-6470(502) 394-6477 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2019, Oct 2, 2015 (2 updates tracked since 2015).

About Dr. Makhawadee Pongruangporn Md NPPES

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

DR. MAKHAWADEE PONGRUANGPORN MD (NPI 1801054838) is an individual infectious disease provider in Louisville, Kentucky, licensed in Kentucky (48026) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Norton-king's Daughters' Health, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1801054838
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MAKHAWADEE PONGRUANGPORNCredential: MD
Location Address4950 NORTON HEALTHCARE BLVD, STE.303Louisville, KY 40241-2845
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 394-6470
Fax(502) 394-6477
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 27, 2008
Last NPPES UpdateMarch 21, 20192 updates tracked since enumeration
✔ NPI 1801054838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in KY · 48026
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedHospitalistTaxonomy 208M00000X · License 2012012189 (MO)
4950 NORTON HEALTHCARE BLVD, Louisville, KY 40241
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Other Identifiers 1

Medicaid7100361830KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Makhawadee Pongruangporn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507014461
PECOS Enrollment IDI20150224000411
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
949 services255 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
286 services170 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
195 services179 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. JANELL SEEGER M.D.
Internal Medicine (Medical Oncology)
4950 NORTON HEALTHCARE BLVD, SUITE 300
LOUISVILLE, KY 40241
Jefferson County (502) 394-6350
DR. DAVID ALAN HASSELBACHER M.D.
Internal Medicine (Pulmonary Disease)
4950 NORTON HEALTHCARE BLVD, SUITE 208
LOUISVILLE, KY 40241
Jefferson County (502) 614-4179
CHARLES M INBARAJ M.D.
Internal Medicine
4950 NORTON HEALTHCARE BLVD, #100
LOUISVILLE, KY 40241
Jefferson County (502) 394-6200
KAREN ROSARIO ORTIZ MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4950 NORTON HEALTHCARE BLVD, SUITE 309
LOUISVILLE, KY 40241
Jefferson County (502) 394-5678
DR. JUSTIN T. PHILLIPS M.D.
Psychiatry & Neurology (Neurology)
4950 NORTON HEALTHCARE BLVD, SUITE 305
LOUISVILLE, KY 40241
Jefferson County (502) 394-6460
CHELSEY SPARKS DNP, APRN
Nurse Practitioner (Acute Care)
4950 NORTON HEALTHCARE BLVD, 205
LOUISVILLE, KY 40241
Jefferson County (502) 394-6390
DR. LAILA SAIED AGRAWAL MD
Internal Medicine (Hematology & Oncology)
4950 NORTON HEALTHCARE BLVD, SUITE 300
LOUISVILLE, KY 40241
Jefferson County (502) 394-6350
CHRISTINA SEVILLA APRN
Nurse Practitioner
4950 NORTON HEALTHCARE BLVD, SUITE 305
LOUISVILLE, KY 40241
Jefferson County (502) 394-6460

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 Makhawadee Pongruangporn's NPI number?

The NPI number for Makhawadee Pongruangporn is 1801054838. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Makhawadee Pongruangporn located?

Makhawadee Pongruangporn practices at 4950 Norton Healthcare Blvd Ste.303, Louisville, KY 40241. The listed phone number is (502) 394-6470.

What is Makhawadee Pongruangporn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Makhawadee Pongruangporn enrolled in Medicare?

Yes. Makhawadee Pongruangporn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Makhawadee Pongruangporn accept?

Health plans from CareSource list Makhawadee Pongruangporn 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.

Is Makhawadee Pongruangporn affiliated with any hospitals?

According to CMS data, Makhawadee Pongruangporn is affiliated with Norton-King's Daughters' Health, Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Makhawadee Pongruangporn was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.