Chanika Phornphutkul, MD
Chanika Phornphutkul, MD is a Clinical Biochemical Genetics Physician in Providence, RI, registered under NPI 1639124530. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 593 EDDY ST, Providence, RI 02903. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10121 | RI | Pediatric Endocrinology Physician |
| MD10121 | RI | Clinical Biochemical Genetics Physician primary |
This provider holds licence 10121 issued in RI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 2668486754
- Enrollment ID
- I20130403000436
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Biochemical Genetics covers
A clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. NUCC Health Care Provider Taxonomy, code 207SG0202X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0205X | Pediatric Endocrinology Physician Pediatric Endocrinology | 10121 | RI | |
| 207SG0202X | Clinical Biochemical Genetics Physician Clinical Biochemical Genetics | MD10121 | RI | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1639124530 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 23, 2006 |
| Last updated | Dec 21, 2011 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | MD |
| Practice address |
593 EDDY ST Providence, RI 02903 (401) 444-8361 Fax (401) 444-3288 |
| Other identifiers |
CP46587
· Medicaid (RI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 3 | 9 | 1 | 2 | 4 | 5 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 2 | 2 | 8 | 5 | 6 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.