SARUN CHANPRUNG – Physical Therapist, NPI 1427863661

SARUN CHANPRUNG is a healthcare provider. based in Palatine, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for SARUN CHANPRUNG is 1427863661

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
SARUN CHANPRUNG
NPI
1427863661
Phone
Not provided
Address
30 S NORTHWEST HWY
Enumeration Date
12 February 2025
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083903362152
Graduation Year
2024 (2 years ago)
PAC ID
5799275475
Group Practice PAC ID
6305100629
Professional Enrollment ID
I20251111000559
Address ID
IL604352841JO1024XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for SARUN CHANPRUNG

  • 30 S NORTHWEST HWY

    PALATINE, IL 600746231

    Phone:

    Mailing address matches the actual address.

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: 2025-11-11

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
I20251111000559IPhysical Therapist In Private 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 60074)

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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: 6305100629View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm SARUN CHANPRUNG's NPI?
Yes. SARUN CHANPRUNG is listed with NPI 1427863661 in the public NPI dataset.
Is SARUN CHANPRUNG still practicing?
SARUN CHANPRUNG is currently listed as active in the public NPI registry.
What healthcare role does SARUN CHANPRUNG hold?
Scheduling teams often label SARUN CHANPRUNG under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is SARUN CHANPRUNG based?
SARUN CHANPRUNG is tied to Palatine, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about SARUN CHANPRUNG up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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