PISESPONG PATAMASUCON (M.D.) – Pediatric Infectious Diseases Physician, NPI 1790763415
Pediatric Infectious Diseases Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PISESPONG PATAMASUCON (M.D.)
2055 N High St Ste 380
Denver, CO 802055503
Phone: (303) 393-4300
Fax: (303) 832-7205
Type: Location
1524 PINTO LN FL 3
LAS VEGAS, NV 891064195
Phone: (702) 944-2828
Fax: (702) 944-2852
Type: Location
380, High Street, Denver, Denver County, Colorado, 80218, United States
DENVER, CO 802055503
Phone: (303) 393-4300
Fax: (303) 832-7205
Type: Mailing
3016 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 891021973
Phone: (702) 780-2315
Fax: (702) 895-1014
Type: Mailing
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: 2009-04-03
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090403000399 | I | Pediatric Medicine | NV | TBD |
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.
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 80205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | CO | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology), Adult Congenital Heart Disease (Achd), Internal Medicine, Pediatric Medicine | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine | CO | |
| - | CO | |
| - | CO |
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