MR. ANAWIN SANGUANKEO (M.D.) – Nephrology Physician, NPI 1043637580
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
279 NEPHROLOGY in WA
Provider Addresses for MR. ANAWIN SANGUANKEO (M.D.)
4101 N WATER TOWER PL
MOUNT VERNON, IL 628646296
Phone: (618) 244-4313
Fax: (410) 367-2258
Type: Mailing
1615 DELAWARE ST
LONGVIEW, WA 986322367
Phone: (360) 414-2730
Fax: (360) 414-2739
Type: Location
4101 N Water Tower Pl
Mount Vernon, IL 62864
Phone: (618) 244-4313
Fax: (618) 244-5348
Type: Location
1830 E Monument St Fl 4
Baltimore, MD 212870020
Phone: (410) 955-5268
Fax: (410) 367-2258
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: 2022-06-08
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 |
|---|---|---|---|---|
| I20220608002663 | I | Nephrology | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 54 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 70 | 29 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| H E M A T O L O G Y | CA | |
| Nurse Practitioner | WA | |
| - | WA | |
| P S Y C H I A T R Y | WA | |
| - | WA | |
| P S Y C H I A T R Y | VA | |
| - | OR | |
| Nurse Practitioner | WA |
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