Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kitima Boonvisudhi

Individual provider Surgery Physician · NPI 1134198005

Dr. Kitima Boonvisudhi is a General Surgery in Albany, Oregon. Graduated from University of Pittsburgh School of Medicine in 1994, 32 years ago. Practices with Albany General Hospital, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York, Oregon and Wisconsin.

Years since qualifying
32
Trained at
University of Pittsburgh School of Medicine
Licensed in
NY, OR, WI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

400 Hickory St NW Ste 101
Albany, OR 97321-1700
Phone: (541) 812-3360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 — (414) 385-8723

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD167013 (OR)
Surgery Physician Taxonomy 208600000X · Licence 204411 (NY)
Surgery Physician Taxonomy 208600000X · Licence 59966 (WI)

Record details

NPI number1134198005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2006
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Albany General Hospital — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Albany