Doctor profile · Federal record
Dr. Chanika Phornphutkul, MD
Clinical Biochemical Genetics Physician (CMS: Pediatric Medicine) · Pediatric Endocrinology Physician · Providence, RI
- NPI 1639124530
- Accepts Medicare
- 34 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
593 Eddy St
Providence, RI 029034923
(401) 444-8361
fax (401) 444-3288
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- December 21, 2011
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 207SG0202X — NUCC code
- State licenses (2)
- Rhode Island #MD10121 · Rhode Island #10121
- Medicaid
- RI #CP46587
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639124530. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
16
Distinct HCPCS
1
Medicare allowed
$2,150
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $134 |
In context: peer comparison
Among 1 peers in Providence Clinical Biochemical Genetics Physician, average services per provider: 16. This provider delivers 1.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
16
Patients
0
Total drug cost
$324,438
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Buphenyl (Sodium Phenylbutyrate) | Brand | 16 | 0 | $324,438 |
Hospital affiliations
Frequently asked questions
What is Dr. Chanika Phornphutkul's medical specialty?
Dr. Chanika Phornphutkul practices Clinical Biochemical Genetics Physician in Providence, RI.
Where does Dr. Chanika Phornphutkul practice?
Dr. Chanika Phornphutkul practices at 593 Eddy St, Providence, RI 029034923. Office phone: 4014448361.
What is Dr. Chanika Phornphutkul's NPI?
Dr. Chanika Phornphutkul's National Provider Identifier (NPI) is 1639124530, issued by NPPES.
Does Dr. Chanika Phornphutkul accept Medicare assignment?
Yes. Dr. Chanika Phornphutkul accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Chanika Phornphutkul commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.