CMS-1500 Box 24J / 33a • NPI
1104113059
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0129X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery
Box 32 Service Location & ZIP+4
2109 HUGHES DR, TOLEDO, OH, 43606-3856
✓ 9-Digit EDI 837 ZIP+4 (43606-3856)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104113059 (CHOMPUNUT ASAVA AREE, M.D.,) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1104113059)
Medicare Beneficiaries
829
Total Billed Services
1,091
Distinct CPT/HCPCS Codes
28
Medicare Allowed Total
$70,464.19
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93880 | Ultrasound of both sides of head and neck blood flow | 175 |
93880 | Ultrasound of both sides of head and neck blood flow | 20 |
93922 | Ultrasound study of arm and leg arteries | 23 |
93923 | Complete ultrasound study of arm and leg arteries | 76 |
93925 | Ultrasound of leg arteries or artery grafts | 19 |
93926 | Ultrasound of one leg arteries or artery grafts | 11 |
93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 151 |
93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 12 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 15 | <11 |
| Ammonium Lactate Ammonium Lactate | 13 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 15 | <11 |
| Cilostazol Cilostazol | 14 | <11 |
| Doxycycline Hyclate Doxycycline Hyclate | 18 | 14 |
| Eliquis Apixaban | 348 | 92 |
| Enoxaparin Sodium Enoxaparin Sodium | 11 | <11 |
| Warfarin Sodium Warfarin Sodium | 103 | 29 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104113059 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHOMPUNUT ASAVA AREE, M.D., |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery NUCC Code: 2086S0129X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2109 HUGHES DR, TOLEDO, OH, 43606-3856 |
| Practice Telephone / Fax | Tel: (419) 291-2003 | Fax: (419) 479-6977 |
| Administrative Mailing Address | 2109 HUGHES DR # 450, TOLEDO, OH, 43606-3858 |
| Enumeration & Last Sync | Enumerated: 2011-06-29 | CMS Record Updated: 2025-10-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0129X)
What Does Taxonomy Code 2086S0129X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0129X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHOMPUNUT ASAVA AREE, M.D.,)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MI | License: 4301502870 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OH | License: 35.125078 | Primary: Secondary |
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: OH | License: 35.125078 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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