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

Pongtawat Lertwilaiwittaya, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619546751

Pongtawat Lertwilaiwittaya, MD is a Medical Genetics and Genomics in Birmingham, Alabama. Qualified in 2017, 9 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Licensed in
AL
In the registry since
2021
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Birmingham, AL

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 47930 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619546751
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2021
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyMEDICAL GENETICS AND GENOMICS
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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