NUNTIDA SURACHAICHARN (DO) – Nephrology Physician, NPI 1821625021
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 NEPHROLOGY in IL
Provider Addresses for NUNTIDA SURACHAICHARN (DO)
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-6055
Type: Mailing
6000 49TH ST N
SAINT PETERSBURG, FL 337092114
Phone: (727) 521-5057
Type: Mailing
PO BOX 3877
JOLIET, IL 604343877
Phone: (815) 714-7171
Fax: (815) 435-5080
Type: Mailing
812 CAMPUS DR
JOLIET, IL 604355128
Phone: (815) 741-6830
Fax: (815) 741-6832
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$225
General + Research + Ownership
Payments
2
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
| CALLIDITAS THERAPEUTICS US INC. | $101 |
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: 2025-06-23
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 |
|---|---|---|---|---|
| I20250623001643 | I | Nephrology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nephrology, Internal Medicine | IL | |
| Nephrology, Critical Care (Intensivists), Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| Internal Medicine, Nephrology | IL | |
| N E P H R O L O G Y | NY |
Reviews
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