DR. KIRKSAK JAY POONKASEM (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1134382831

DR. KIRKSAK JAY POONKASEM (MD) is a healthcare provider. based in Clearwater, Florida. specializing in HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. ME98316 (FL). The NPI Number for DR. KIRKSAK JAY POONKASEM (MD) is 1134382831

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIRKSAK JAY POONKASEM (MD)
NPI
1134382831
Phone
(727) 461-8300
Address
430 Morton Plant St Ste 400
Enumeration Date
3 July 2008
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7277256526
Graduation Year
2005 (21 years ago)
PAC ID
7618013459
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20091007000655
Address ID
FL346956607SA3231XRDXX402

Contacts

Secure Messaging
Kirksak.Poonkasem@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

299 HOSPICE/PALLIATIVE CARE in FL

Provider Addresses for DR. KIRKSAK JAY POONKASEM (MD)

  • 430 Morton Plant St Ste 400

    Clearwater, FL 337563394

    Phone: (727) 461-8300

    Type: Location

  • PO BOX 10744

    CLEARWATER, FL 337578744

    Phone: (727) 532-0002

    Fax: (727) 266-4943

    Type: Mailing

  • 300 PINELLAS ST

    CLEARWATER, FL 337563804

    Phone: (727) 461-8231

    Fax: (727) 298-6637

    Type: Mailing

  • Morton Plant North Bay Hospital, 6600, Madison Street, New Port Richey, Pasco County, Florida, 34652, United States

    NEW PORT RICHEY, FL 346521971

    Phone: (727) 815-7208

    Fax: (727) 266-4951

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($36).

Total Amount

$90

General + Research + Ownership

Payments

5

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

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: 2009-10-07

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
I20091007000655IHospice/Palliative CareFLTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes178174$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7960$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3838$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3630$0
View full utilization report →

Insurance plans in this area (ZIP 33756)

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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: 6406753623View full group profile

Reviews

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Frequently asked questions

How is DR. KIRKSAK JAY POONKASEM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. KIRKSAK JAY POONKASEM (MD) with NPI 1134382831.
Does CMS list DR. KIRKSAK JAY POONKASEM (MD) as active?
Yes — DR. KIRKSAK JAY POONKASEM (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KIRKSAK JAY POONKASEM (MD)?
For research purposes, treat DR. KIRKSAK JAY POONKASEM (MD) as Hospice and Palliative Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. KIRKSAK JAY POONKASEM (MD) based?
DR. KIRKSAK JAY POONKASEM (MD) is tied to Clearwater, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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