MR. NONTAPOTH X WONGKITTIARKORN
NPI 1952046542
Emergency Medicine in Middletown, NY

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7373 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 15, 2025, Apr 28, 2022 (2 updates tracked since 2022).

About Mr. Nontapoth X Wongkittiarkorn NPPES

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

MR. NONTAPOTH X WONGKITTIARKORN (NPI 1952046542) is an individual emergency medicine provider in Middletown, New York, licensed in Arkansas (E-19361) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2022).

NPPES Registry Identity

NPI1952046542
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. NONTAPOTH X WONGKITTIARKORN
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address2120 Mardale CirJoplin, MO 64804-7878
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2022
Enumeration DateApril 28, 2022
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1952046542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AR · E-19361
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
707 E MAIN ST, Middletown, NY 10940

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nontapoth X Wongkittiarkorn 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 ID7719406610
PECOS Enrollment IDI20250523000567
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 Nontapoth Wongkittiarkorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neonatal-Perinatal Medicine
3000 MEDICAL CENTER PKWY
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • 204 clinicians in this Medicare group

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 10940 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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.

Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Emergency Medicine
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940

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 Nontapoth Wongkittiarkorn's NPI number?

The NPI number for Nontapoth Wongkittiarkorn is 1952046542. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Nontapoth Wongkittiarkorn located?

Nontapoth Wongkittiarkorn practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7373.

What is Nontapoth Wongkittiarkorn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nontapoth Wongkittiarkorn enrolled in Medicare?

Yes. Nontapoth Wongkittiarkorn 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.

Which organization bills Medicare for Nontapoth Wongkittiarkorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nontapoth Wongkittiarkorn reassigns Medicare benefits to Springdale- Bentonville Hbp Services, LLC (Bentonville, AR). 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 Nontapoth Wongkittiarkorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nontapoth Wongkittiarkorn accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Nontapoth Wongkittiarkorn 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 Nontapoth Wongkittiarkorn was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.