Kitima Boonvisudhi
Surgery Physician · Albany, OR
Kitima Boonvisudhi is a surgery physician with a practice address in Albany, Oregon, and NPI 1134198005, issued on Mar 14, 2006. Check the license (Oregon MD167013, as entered in NPPES) on the Oregon Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kitima Boonvisudhi
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- MD167013 OR
204411 NY
59966 WI
Self-reported in NPPES; status is on the state search - Practice location
- 400 Hickory St NW Ste 101, Albany, OR 97321
- Phone
- (541) 812-3360
- Enumerated
- Mar 14, 2006
- Record last updated
- Jan 27, 2025
- Medicaid ID
- 02440095 NY
- Medicare enrollment
- Enrolled (PECOS I20140807000488); accepts Medicare assignment
- Medical or professional school
- University Of Pittsburgh School Of Medicine, 1994
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 524 in Oregon → Look up another NPI →
Also registered at 400 Hickory St NW Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Madeleine Courvoisier, PA-CPhysician Assistant1598249799
- Priscilla Latta, M.D.Undersea and Hyperbaric Medicine (Preventive Medicine) Physician1639154974
- Scott Rasmussen, D.P.M.Podiatrist1548571136
Verify Kitima Boonvisudhi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersOregon Medical Board
Search for license MD167013Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $101.66
1 payment: food and beverage; the largest payer was Medtronic, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Albany General HospitalAlbany, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kitima Boonvisudhi among 524 surgery physician records in Oregon
Kitima Boonvisudhi is one of 524 surgery physician records with a practice address in Oregon. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 53% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1994 · median 2005 among the 321 with a school on file
- Record last updated2025 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Oregon
There are 524 surgery physician records in Oregon.
All 524 in Oregon → Every provider in Albany → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Frederic Bahnson, M.D.Albany, OR 973211518296847
- Alisha Cluff Kingsford, DOAlbany, OR 973211417410747
- Satyajeet Gaekwad, M.D.Albany, OR 973211134184567
- Mary Harada, M.D.Albany, OR 973211124055215
- April Jensen, D.O.Albany, OR 973211437578853
- Gregg Miller, M.D.Albany, OR 973211427085513
- Marie Ray, M.D.Albany, OR 973211982631628
- Carolyn SmithAlbany, OR 973211104577956
Common questions
What is Kitima Boonvisudhi's NPI number?
Kitima Boonvisudhi's National Provider Identifier (NPI) is 1134198005, issued on Mar 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kitima Boonvisudhi located?
The NPPES record lists a practice address at 400 Hickory St NW Ste 101, Albany, OR, 97321. Phone: (541) 812-3360. Providers update this record themselves, so call before visiting.
How can I verify Kitima Boonvisudhi's license?
NPPES lists Oregon license number MD167013, as entered by the provider. Search the Oregon Medical Board at https://www.oregon.gov/OMB/Pages/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.