DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1952680084

DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) is a healthcare provider. based in Marion, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 4301098268 (MI). The NPI Number for DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) is 1952680084

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRITTAPOOM AKRAWINTHAWONG (M.D.)
NPI
1952680084
Phone
(618) 529-4455
Address
3905 W Ernestine Dr
Enumeration Date
7 August 2011
Last Update Date
8 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052719355
Graduation Year
2007 (19 years ago)
PAC ID
6103128558
Group Practice PAC ID
5991105876
Professional Enrollment ID
I20230317000830
Address ID
OK731045417OK825XXSTXX409

Contacts

Secure Messaging
akrittapoom27704@sih.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:14State licenses:3Other namesUpdated within 12 months

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for DR. KRITTAPOOM AKRAWINTHAWONG (M.D.)

  • 3905 W Ernestine Dr

    Marion, IL 629595800

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • 409 W Oak St

    Carbondale, IL 629011464

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 529-4455

    Type: Mailing

  • 1122 NE 13TH ST # 262

    OKLAHOMA CITY, OK 731171039

    Phone: (405) 271-4742

    Fax: (405) 271-2619

    Type: Mailing

  • 825 NE 10TH ST # 2E

    OKLAHOMA CITY, OK 731045417

    Phone: (405) 271-8478

    Fax: (405) 271-4230

    Type: Location

  • 409 W OAK ST

    CARBONDALE, IL 629011464

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $2,269.

Total Amount is formed as General ($2,269) + Research ($0) + Ownership ($0) = $2,269.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Abbott Laboratories ($1,128).

Total Amount

$2,269

General + Research + Ownership

Payments

45

Total payment records

General Amount

$2,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-17

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
I20230317000830ICardiovascular Disease (Cardiology)OKTBD

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 minutes13194$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7350$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6143$0
99214Established patient office or other outpatient visit, 30-39 minutes5648$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5447$0
View full utilization report →

Insurance plans in this area (ZIP 62959)

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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: 5991105876View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
O P H T H A L M O L O G YOK
Certified Registered Nurse Anesthetist (Crna)OK
R H E U M A T O L O G YOK
Nurse PractitionerOK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Family Practice, HospitalistOK
Medical OncologyRI
Clinical Social WorkerOK

Reviews

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Frequently asked questions

Can I verify DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) with an NPI only?
You can start verification with NPI 1952680084 for DR. KRITTAPOOM AKRAWINTHAWONG (M.D.), then check state licensing separately.
Is DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) listed as active for patients and plans?
The listing shows DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) as active in the NPI system.
What is DR. KRITTAPOOM AKRAWINTHAWONG (M.D.)'s primary classification?
Clinical Cardiac Electrophysiology Physician is the headline specialty for DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) based?
DR. KRITTAPOOM AKRAWINTHAWONG (M.D.) is tied to Marion, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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