DR. KEATTIYOAT WATTANAKIT (MD) – Cardiovascular Disease Physician, NPI 1407821077
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for DR. KEATTIYOAT WATTANAKIT (MD)
Peoria Post Office, 10700, North 85th Avenue, Peoria, Maricopa County, Arizona, 85345, United States
PEORIA, IL 616129382
Phone: (309) 691-4410
Type: Mailing
OSF HealthCare Cardiovascular Institute, 5405, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61614, United States
PEORIA, IL 61614
Phone: (309) 691-4410
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 $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($43).
Total Amount
$43
General + Research + Ownership
Payments
1
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $43 |
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: 2011-02-22
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 |
|---|---|---|---|---|
| I20110222000539 | I | Cardiovascular Disease (Cardiology) | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,267 | 1,106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 463 | 358 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 463 | 455 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 348 | 326 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 294 | 290 | $0 |
Insurance plans in this area (ZIP 61612)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 236 | 236 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 85610 | Blood test, clotting time | 291 | 196 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 2495 | 2042 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 43 | 42 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 38 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MO | |
| - | IL |
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