MS. AMORNLUCK KRASAELAP (M.D.) – Pediatric Gastroenterology Physician, NPI 1376954461
Pediatric Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
167 PEDIATRIC MEDICINE in KS
Provider Addresses for MS. AMORNLUCK KRASAELAP (M.D.)
2401 GILLHAM RD
ATTN: PROVIDER ENROLLMENT DEPT
KANSAS CITY, MO 641084619
Phone: (816) 701-5200
Fax: (816) 302-9939
Type: Mailing
5808 W 110TH ST
OVERLAND PARK, KS 662112504
Phone: (913) 696-8000
Fax: (816) 302-9939
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-07-12 • Largest payer in this snapshot: EvoEndo, Inc ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EvoEndo, Inc | $26 |
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: 2024-06-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240614002041 | I | Pediatric Medicine | WA | 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 64108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | WA | |
| - | WA | |
| Pediatric Medicine, Hematology/Oncology | CA | |
| - | WA | |
| Diagnostic Radiology, Pediatric Medicine | WA | |
| Nurse Practitioner | WA | |
| A N E S T H E S I O L O G Y | WA | |
| General Surgery, Thoracic Surgery, Surgical Oncology | WA | |
| - | WA | |
| - | WA |
Reviews
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