Khongruk Wongkittiroch, D.O.
NPI 1205003068 · Dermatology Physician · Fort Lauderdale, FL
Enrolled with Medicare as Practitioner - Micrographic Dermatologic Surgery (mds) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Khongruk Wongkittiroch, D.O. is a Dermatology Physician provider in Fort Lauderdale, FL (NPI 1205003068).
Provider details
- NPI number
- 1205003068
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- OS11792 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
7,898 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 4,321 | $7 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 987 | $129 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 634 | $42 |
| Destruction of Skin Growth, 1-14 Growths17110 | 505 | $107 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 415 | $92 |
| Biopsy of Related Skin Growth, First Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mupirocin | 342 | 262 |
| Triamcinolone Acetonide | 215 | 166 |
| Doxycycline Hyclate | 175 | 140 |
| Clobetasol Propionate | 98 | 59 |
| Gentamicin Sulfate | 89 | 65 |
| Ketoconazole | 64 | 34 |
| Valacyclovir Hclbrand: Valacyclovir | 59 | 33 |
| Hydrocortisone | 58 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$6,133 across 202 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-12
- Last updated
- 2014-12-18
Frequently asked questions
- What is Khongruk Wongkittiroch's NPI number?
- Khongruk Wongkittiroch's National Provider Identifier (NPI) is 1205003068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khongruk Wongkittiroch's specialty?
- Khongruk Wongkittiroch is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Khongruk Wongkittiroch located?
- Khongruk Wongkittiroch's practice location on file with NPPES is 2838 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1814.
- What is Khongruk Wongkittiroch's phone number?
- The practice phone number listed in the NPPES registry for Khongruk Wongkittiroch is (954) 564-0040.
- Does Khongruk Wongkittiroch accept Medicare?
- Khongruk Wongkittiroch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Khongruk Wongkittiroch's NPI active?
- Yes — Khongruk Wongkittiroch's NPI (1205003068) is active in the NPPES registry as of the last update on 2014-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.