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

Individual provider Internal Medicine Physician · NPI 1518340744

Pitchaphon Nissaisorakarn, MD is a Nephrology in Boston, Massachusetts. Qualified in 2012, 14 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (877) 644-2860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 286885 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 286885 (MA)

Record details

NPI number1518340744
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESJune 17, 2021
Certification dateMay 2, 2021

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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