MR. WITOON RUAMWIJITPHONG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063742633

MR. WITOON RUAMWIJITPHONG (CRNA) is a healthcare provider. based in Chicago, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2010005623 (MO). The NPI Number for MR. WITOON RUAMWIJITPHONG (CRNA) is 1063742633

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. WITOON RUAMWIJITPHONG (CRNA)
NPI
1063742633
Phone
(800) 862-9980
Address
PO BOX 7412011
Enumeration Date
5 January 2010
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182885711
Graduation Year
2009 (17 years ago)
PAC ID
8325179013
Group Practice PAC ID
4981912607
Professional Enrollment ID
I20140611001888
Address ID
IL620628500MA6800X162X400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,777 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for MR. WITOON RUAMWIJITPHONG (CRNA)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8054

    SAINT LOUIS, MO 631101010

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • Barnes-Jewish Hospital, 1, Barnes Jewish Hospital Plaza, Central West End, St. Louis, Missouri, 63110, United States

    DEPT ANESTHESIOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

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: 2014-06-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100624000195ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20140611001888ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope189189$0
00812Anesthesia for exam of colon using an endoscope131131$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope10094$0
00813Anesthesia for procedure on small and large bowel using an endoscope5858$0
00142Anesthesia for lens surgery2422$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 4981912607View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

How is MR. WITOON RUAMWIJITPHONG (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MR. WITOON RUAMWIJITPHONG (CRNA) with NPI 1063742633.
Can I rely on MR. WITOON RUAMWIJITPHONG (CRNA) being an active provider?
As of the registry snapshot, MR. WITOON RUAMWIJITPHONG (CRNA) is marked active.
What taxonomy line describes MR. WITOON RUAMWIJITPHONG (CRNA)?
For research purposes, treat MR. WITOON RUAMWIJITPHONG (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. WITOON RUAMWIJITPHONG (CRNA) based?
MR. WITOON RUAMWIJITPHONG (CRNA) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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