WIMOL ANN MITRAKUL (MD) – Family Medicine Physician, NPI 1013066257
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for WIMOL ANN MITRAKUL (MD)
PO BOX 713260
CHICAGO, IL 606770264
Phone: (630) 469-9200
Type: Mailing
PO BOX 7410264
CHICAGO, IL 606740264
Phone: (815) 942-6323
Fax: (779) 210-5541
Type: Mailing
1239 WINDHAM PKWY
ROMEOVILLE, IL 604461608
Phone: (815) 942-6323
Fax: (779) 210-5541
Type: Location
IL 59, Plainfield, Will County, Illinois, 60586, United States
PLAINFIELD, IL 605442693
Phone: (815) 436-8831
Fax: (815) 436-6863
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $2,143.
Total Amount is formed as General ($2,143) + Research ($0) + Ownership ($0) = $2,143.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($458).
Total Amount
$2,143
General + Research + Ownership
Payments
100
Total payment records
General Amount
$2,143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $458 |
| Janssen Pharmaceuticals, Inc | $325 |
| ITI, Inc. | $187 |
| IDORSIA PHARMACEUTICALS US INC | $158 |
| Neurocrine BioSciences, Inc. | $124 |
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: 2005-05-25
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 |
|---|---|---|---|---|
| I20050525000249 | I | Family Practice | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 248 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 11 | $0 |
| 84481 | Thyroid hormone, t3 measurement, free | 28 | 12 | $0 |
| 84439 | Thyroxine (thyroid chemical), free | 27 | 11 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 26 | 11 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Radiation Oncology | IL | |
| Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| P S Y C H I A T R Y | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Geriatric Medicine | IL |
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