KHONGRUK WONGKITTIROCH (D.O.) – Dermatology Physician, NPI 1205003068
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for KHONGRUK WONGKITTIROCH (D.O.)
2838, East Oakland Park Boulevard, Fort Lauderdale, Broward County, Florida, 33306, United States
STE 201
FORT LAUDERDALE, FL 333061814
Phone: (954) 564-0040
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 356 Open Payments records for all available years, with a total value of $8,830.
Total Amount is formed as General ($8,830) + Research ($0) + Ownership ($0) = $8,830.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Almirall LLC ($2,820).
Total Amount
$8,830
General + Research + Ownership
Payments
356
Total payment records
General Amount
$8,830
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Almirall LLC | $2,820 |
| ABBVIE INC. | $1,362 |
| Janssen Biotech, Inc. | $660 |
| LEO Pharma Inc. | $563 |
| Regeneron Healthcare Solutions, Inc. | $512 |
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: 2012-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120913000723 | I | Micrographic Dermatologic Surgery (Mds) | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 5,600 | 24 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,644 | 297 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 912 | 397 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 549 | 331 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 444 | 300 | $0 |
Insurance plans in this area (ZIP 33306)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | FL | |
| General Surgery | FL | |
| - | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| Pain Management, Anesthesiology, Anesthesiology, Pain Management | NY | |
| Colorectal Surgery (Proctology) | FL | |
| General Surgery, Colorectal Surgery (Proctology) | FL | |
| General Surgery | FL | |
| Internal Medicine, Hospitalist | FL |
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