DR. CHERDKIAT SANGKAM (MD) – Cardiovascular Disease Physician, NPI 1174505218

DR. CHERDKIAT SANGKAM (MD) is a healthcare provider. based in Olympia fields, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 036056561 (IL). The NPI Number for DR. CHERDKIAT SANGKAM (MD) is 1174505218

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHERDKIAT SANGKAM (MD)
NPI
1174505218
Phone
(708) 748-9952
Address
3800 W 203rd St
Enumeration Date
15 November 2005
Last Update Date
3 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154640197
Graduation Year
1971 (55 years ago)
PAC ID
0941272405
Group Practice PAC ID
3577988344
Professional Enrollment ID
I20061013000596
Address ID
IL604231382FR580XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for DR. CHERDKIAT SANGKAM (MD)

  • 3800 W 203rd St

    Suite 201

    Olympia Fields, IL 604611184

    Phone: (708) 748-9952

    Fax: (708) 748-9924

    Type: Location

  • 1910, Michigan Box Company, Detroit, Wayne County, Michigan, 48211, United States

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

  • 201, South Main Street, Crown Point, Lake County, Indiana, 46307, United States

    CROWN POINT, IN 463073677

    Phone: (219) 769-8340

    Fax: (219) 769-8341

    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: 2006-10-13

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
I20061013000596ICardiovascular Disease (Cardiology)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
99215Established patient office or other outpatient visit, 40-54 minutes6837$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3831$0
View full utilization report →

Insurance plans in this area (ZIP 60461)

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Provider's Procedures

DR. CHERDKIAT SANGKAM (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IN85610Blood test, clotting time73559

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: 3577988344View full group profile
NameSpecialtyState
Internal MedicineIL
Internal MedicineIL

Reviews

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Frequently asked questions

What federal number belongs to DR. CHERDKIAT SANGKAM (MD)?
The federal identifier for DR. CHERDKIAT SANGKAM (MD) is NPI 1174505218.
Is DR. CHERDKIAT SANGKAM (MD) currently active in the NPI registry?
CMS-published data lists DR. CHERDKIAT SANGKAM (MD) as an active registrant.
Does DR. CHERDKIAT SANGKAM (MD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for DR. CHERDKIAT SANGKAM (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. CHERDKIAT SANGKAM (MD)?
We surface Olympia Fields, Illinois for DR. CHERDKIAT SANGKAM (MD) based on available NPPES addresses.
Is DR. CHERDKIAT SANGKAM (MD) a real provider?
This page reflects official NPPES data for NPI 1174505218. Always confirm identity and privileges with the practice and licensing boards.

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