KYAW T NAING (M.D., PH.D.) – Family Medicine Physician, NPI 1215913181

KYAW T NAING (M.D., PH.D.) is a healthcare provider. based in West frankfort, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D., PH.D.. They hold a License No. 036-091952 (IL). The NPI Number for KYAW T NAING (M.D., PH.D.) is 1215913181

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
KYAW T NAING (M.D., PH.D.)
NPI
1215913181
Phone
(618) 932-3937
Address
2553 Ken Gray Blvd
Enumeration Date
21 December 2005
Last Update Date
19 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185366621
Graduation Year
1978 (48 years ago)
PAC ID
4183756919
Group Practice PAC ID
4486667888
Professional Enrollment ID
I20100714000806
Address ID
IL629011413CA300XXSTXX400

Contacts

Secure Messaging
kyawnaing@siusm.allscriptsdirect.net
Secure Messaging
knaing15459@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for KYAW T NAING (M.D., PH.D.)

  • 2553 Ken Gray Blvd

    West Frankfort, IL 628964174

    Phone: (618) 932-3937

    Fax: (618) 932-2734

    Type: Location

  • 305, West Jackson Street, Carbondale, Jackson County, Illinois, 62901, United States

    STE 200

    CARBONDALE, IL 629011474

    Phone: (618) 536-6621

    Fax: (618) 453-1102

    Type: Mailing

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: 2010-07-14

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
I20100714000806IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62896)

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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: 4486667888View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantIL
Family PracticeIL
Registered Dietitian Or Nutrition ProfessionalIL
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
-IL
Internal MedicineOK
Family PracticeIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify KYAW T NAING (M.D., PH.D.) for billing?
Administrative and clinical systems typically use NPI 1215913181 for KYAW T NAING (M.D., PH.D.).
Should I treat KYAW T NAING (M.D., PH.D.) as an active provider?
Patients and plans typically see KYAW T NAING (M.D., PH.D.) as active in the national extract.
Which specialty label fits KYAW T NAING (M.D., PH.D.)?
NPPES ties KYAW T NAING (M.D., PH.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KYAW T NAING (M.D., PH.D.) in West Frankfort, Illinois?
For routing, start with West Frankfort, Illinois for KYAW T NAING (M.D., PH.D.), then verify phone and hours locally.
Can I export KYAW T NAING (M.D., PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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