DR. AKALUCK THATAYATIKOM (MD) – Pediatric Rheumatology Physician, NPI 1366650236

DR. AKALUCK THATAYATIKOM (MD) is a healthcare provider. based in Orlando, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 2006035310 (MO). The NPI Number for DR. AKALUCK THATAYATIKOM (MD) is 1366650236

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. AKALUCK THATAYATIKOM (MD)
NPI
1366650236
Phone
(407) 821-3545
Address
2501 N ORANGE AVE STE 586
Enumeration Date
21 May 2007
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002700
Graduation Year
1989 (37 years ago)
PAC ID
1658466057
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20130107000201
Address ID
FL327517102MA2600XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,327 PEDIATRIC MEDICINE in FL

Provider Addresses for DR. AKALUCK THATAYATIKOM (MD)

  • 2501 N ORANGE AVE STE 586

    ORLANDO, FL 328044603

    Phone: (407) 821-3545

    Fax: (407) 821-3546

    Type: Mailing

  • PO BOX 100296

    GAINESVILLE, FL 326100296

    Phone: (352) 334-1340

    Fax: (352) 334-1348

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 294-5252

    Fax: (352) 294-8068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $494.

Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($253).

Total Amount

$494

General + Research + Ownership

Payments

5

Total payment records

General Amount

$494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

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: 2013-01-07

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
I20130107000201IPediatric MedicineFLTBD

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 32804)

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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: 0749186153View full group profile
NameSpecialtyState
H E M A T O L O G YPA
Physician AssistantPA
-FL
Physician AssistantFL
N E U R O L O G YFL
Nurse PractitionerFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

Can I verify DR. AKALUCK THATAYATIKOM (MD) with an NPI only?
You can start verification with NPI 1366650236 for DR. AKALUCK THATAYATIKOM (MD), then check state licensing separately.
Is DR. AKALUCK THATAYATIKOM (MD) still practicing?
DR. AKALUCK THATAYATIKOM (MD) is currently listed as active in the public NPI registry.
What is DR. AKALUCK THATAYATIKOM (MD)'s specialty?
The listing groups DR. AKALUCK THATAYATIKOM (MD) with Pediatric Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. AKALUCK THATAYATIKOM (MD) serve?
DR. AKALUCK THATAYATIKOM (MD)'s listing highlights Orlando, Florida; more addresses can appear in NPPES.
Why does DR. AKALUCK THATAYATIKOM (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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