Deactivated NPI 1629130208 Deactivated / Inactive NPI Male Practitioner

Dr. Chalermchai Punya , MD

General Practice • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Chalermchai Punya has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2006

NPI Deactivation Date January 18, 2023

Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Chalermchai Punya, MD was a registered General Practice practicing in Jacksonville, FL. Throughout an active medical career spanning 17 years, Dr. Punya provided care at the practice location at 4570 SAN JUAN AVE 2 until profile deactivation on 2023-01-18.

Historical Medicare Part B clinical services included established patient outpatient office visit, automated urinalysis test, insertion of needle into vein for collection of blood sample. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4570 San Juan Ave 2

Jacksonville, FL 322102051

Telephone 9043845385

Fax 9043885838

Associated Practice Facility / Clinic

🏢 Lakeshore Medical Care Center, Inc Facility NPI 1124195573

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

84 Specialists

Practicing in Jacksonville, FL (2490 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$85.00	$69.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	158	$85.00	$67.21
81003 Automated urinalysis test	106	61	$17.00	$2.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	50	$60.00	$39.81
36415 Insertion of needle into vein for collection of blood sample	68	43	$14.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	30	$125.00	$97.96
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$90.00	$66.29
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$45.00	$15.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$175.00	$106.14
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$25.00	$16.36

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME0018387

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

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NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2015

Registered at 4570 SAN JUAN AVE 2, JACKSONVILLE, FL 322102051 (Tel: 9043845385)

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Updated Business Mailing Address July 16, 2015

Registered at 4570 SAN JUAN AVE 2, JACKSONVILLE, FL 322102051 (Tel: 9043845385)

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Provider Name / Credentials Updated July 16, 2015

Recorded as CHALERMCHAI PUNYA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

General Practice (License #ME0018387 in FL)

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Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629130208

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 14, 2006

Last Update: July 16, 2015

Deactivation Date: January 18, 2023

Update or Correct Profile

Mailing Address

4570 San Juan Ave 2

Jacksonville, FL 322102051

Phone: 9043845385

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.