TOSAPORN KRASAEATH (MD) – Diagnostic Radiology Physician, NPI 1366424640

TOSAPORN KRASAEATH (MD) is a healthcare provider. based in Moultrie, Georgia. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 026884 (GA). The NPI Number for TOSAPORN KRASAEATH (MD) is 1366424640

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
TOSAPORN KRASAEATH (MD)
NPI
1366424640
Phone
(800) 382-4023
Address
PO BOX 2049
Enumeration Date
14 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123508436
Graduation Year
1967 (59 years ago)
PAC ID
4880720416
Group Practice PAC ID
5799706032
Professional Enrollment ID
I20100407000211
Address ID
GA314046283SA4700XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for TOSAPORN KRASAEATH (MD)

  • PO BOX 2049

    MOULTRIE, GA 317762049

    Phone: (800) 382-4023

    Type: Mailing

  • 1703, Meadows Lane, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304748915

    Phone: (800) 382-4023

    Type: Location

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: 2010-04-07

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
I20100407000211IDiagnostic RadiologyGATBD

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
71045X-ray of chest, 1 view860634$0
71046X-ray of chest, 2 views404362$0
77080Dxa bone density measurement of hip, pelvis, spine200200$0
73562X-ray of knee, 3 views117100$0
74018X-ray of abdomen, 1 view10891$0
View full utilization report →

Insurance plans in this area (ZIP 31776)

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Provider's Procedures

TOSAPORN KRASAEATH (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA73630X-ray of foot, minimum of 3 views2323

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: 5799706032View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyGA
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyIL
Diagnostic RadiologyGA
Diagnostic RadiologyTN
Diagnostic RadiologyFL
Diagnostic RadiologyGA
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Can I cross-check TOSAPORN KRASAEATH (MD) using NPI 1366424640?
NPI 1366424640 belongs to TOSAPORN KRASAEATH (MD); compare other details if you need extra assurance.
Active or inactive — what applies to TOSAPORN KRASAEATH (MD)?
You should see TOSAPORN KRASAEATH (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for TOSAPORN KRASAEATH (MD)?
At a glance, TOSAPORN KRASAEATH (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TOSAPORN KRASAEATH (MD)?
Travel planning: use Moultrie, Georgia as the reference point for TOSAPORN KRASAEATH (MD), then confirm.
Does TOSAPORN KRASAEATH (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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