ATIA AROONSAKULWONGSE (PA) – Medical Physician Assistant, NPI 1679387351

ATIA AROONSAKULWONGSE (PA) is a healthcare provider. based in Vestavia hills, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1934 (AL). The NPI Number for ATIA AROONSAKULWONGSE (PA) is 1679387351

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ATIA AROONSAKULWONGSE (PA)
NPI
1679387351
Phone
(205) 783-5900
Address
1021 MONTGOMERY HWY STE 201
Enumeration Date
4 February 2025
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2056557600
Graduation Year
2024 (2 years ago)
PAC ID
0840713137
Group Practice PAC ID
4385651751
Professional Enrollment ID
I20250327001414
Address ID
AL352358669BI5890XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,214 PHYSICIAN ASSISTANT in AL

Provider Addresses for ATIA AROONSAKULWONGSE (PA)

  • 1021 MONTGOMERY HWY STE 201

    VESTAVIA HILLS, AL 352162805

    Phone: (205) 783-5900

    Fax: (205) 971-1927

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250327001414IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385651751View full group profile
NameSpecialtyState
-AL
-AL
O B S T E T R I C S/ G Y N E C O L O G YAL
Nurse PractitionerAL
Internal MedicineAL
Endocrinology, Internal MedicineAL
-AL
O B S T E T R I C S/ G Y N E C O L O G YAL
Orthopedic SurgeryAL
Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm ATIA AROONSAKULWONGSE (PA)'s NPI?
Yes. ATIA AROONSAKULWONGSE (PA) is listed with NPI 1679387351 in the public NPI dataset.
Can I rely on ATIA AROONSAKULWONGSE (PA) being an active provider?
As of the registry snapshot, ATIA AROONSAKULWONGSE (PA) is marked active.
What healthcare role does ATIA AROONSAKULWONGSE (PA) hold?
Scheduling teams often label ATIA AROONSAKULWONGSE (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ATIA AROONSAKULWONGSE (PA) list a practice location?
Patients near Vestavia Hills, Alabama may find ATIA AROONSAKULWONGSE (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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