PANUPONG LISAWAT (MD) – Nephrology Physician, NPI 1922254184

PANUPONG LISAWAT (MD) is a healthcare provider. based in Danbury, Connecticut. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 051569 (CT). The NPI Number for PANUPONG LISAWAT (MD) is 1922254184

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
PANUPONG LISAWAT (MD)
NPI
1922254184
Phone
(203) 739-7104
Address
111 OSBORNE ST
Enumeration Date
7 August 2008
Last Update Date
4 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034548600
Graduation Year
2005 (21 years ago)
PAC ID
7315185584
Group Practice PAC ID
4789597691
Professional Enrollment ID
I20130529000657
Address ID
CT068503705NO23XXXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

204 NEPHROLOGY in CT

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Provider Addresses for PANUPONG LISAWAT (MD)

  • 111, Osborne Street, Germantown, Danbury, Fairfield County, Connecticut, 06810, United States

    SUITE 210

    DANBURY, CT 068106000

    Phone: (203) 739-7104

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $6.

Total Amount is formed as General ($6) + Research ($0) + Ownership ($0) = $6.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($6).

Total Amount

$6

General + Research + Ownership

Payments

3

Total payment records

General Amount

$6

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-05-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130529000657INephrologyCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes632217$0
90970Dialysis services, per day, less than full month service (20 years or older)53512$0
99214Established patient office or other outpatient visit, 30-39 minutes445233$0
99213Established patient office or other outpatient visit, 20-29 minutes406268$0
90935Hemodialysis procedure with physician evaluation17865$0
View full utilization report →

Insurance plans in this area (ZIP 06810)

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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: 4789597691View full group profile

Reviews

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Frequently asked questions

What identifier follows PANUPONG LISAWAT (MD) across health systems?
The NPI 1922254184 uniquely identifies PANUPONG LISAWAT (MD) in U.S. healthcare data.
Should I treat PANUPONG LISAWAT (MD) as an active provider?
Patients and plans typically see PANUPONG LISAWAT (MD) as active in the national extract.
What services align with PANUPONG LISAWAT (MD)'s listing?
PANUPONG LISAWAT (MD)'s public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is PANUPONG LISAWAT (MD) tied to Danbury, Connecticut?
If you are local to Danbury, Connecticut, PANUPONG LISAWAT (MD) may be relevant to your search.
Who maintains PANUPONG LISAWAT (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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