SOMSAK SITTITAVORNWONG (DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1407808868

SOMSAK SITTITAVORNWONG (DDS) is a healthcare provider. based in Birmingham, Alabama. specializing in ORAL SURGERY. They hold the professional credentials DDS. They hold a License No. D5778 (AL). The NPI Number for SOMSAK SITTITAVORNWONG (DDS) is 1407808868

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
SOMSAK SITTITAVORNWONG (DDS)
NPI
1407808868
Phone
(205) 731-9701
Address
PO BOX 55310
Enumeration Date
16 May 2006
Last Update Date
26 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059897254
Graduation Year
1992 (34 years ago)
PAC ID
5597858027
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20070829000629
Address ID
AL352444625HO501XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

42 ORAL SURGERY in AL

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Provider Addresses for SOMSAK SITTITAVORNWONG (DDS)

  • Cadbury, Bournville, Stirchley, Birmingham, West Midlands, England, B30 2LU, United Kingdom

    BIRMINGHAM, AL 352555310

    Phone: (205) 731-9701

    Type: Mailing

  • 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 35233

    Phone: (205) 934-4011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $936.

Total Amount is formed as General ($936) + Research ($0) + Ownership ($0) = $936.

Last reported payment date: 2024-11-16 • Largest payer in this snapshot: KLS-Martin L.P. ($261).

Total Amount

$936

General + Research + Ownership

Payments

14

Total payment records

General Amount

$936

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070829000629IOral SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70355X-ray of lower jaws, upper jaws and teeth4947$0
99214Established patient office or other outpatient visit, 30-39 minutes4336$0
99205New patient office or other outpatient visit, 60-74 minutes4242$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 35255)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

Is there an official ID for SOMSAK SITTITAVORNWONG (DDS) in U.S. healthcare records?
The official identifier for SOMSAK SITTITAVORNWONG (DDS) is NPI 1407808868.
Is there an active status for SOMSAK SITTITAVORNWONG (DDS)?
For scheduling context, SOMSAK SITTITAVORNWONG (DDS) is shown as active in the registry.
How would a patient describe SOMSAK SITTITAVORNWONG (DDS)'s focus?
For SOMSAK SITTITAVORNWONG (DDS), the primary taxonomy reads as Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
What practice footprint exists for SOMSAK SITTITAVORNWONG (DDS)?
Travel planning: use Birmingham, Alabama as the reference point for SOMSAK SITTITAVORNWONG (DDS), then confirm.
Does SOMSAK SITTITAVORNWONG (DDS) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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