MR. TWAN PHANIJPHAND (D.O.) – Gastroenterology Physician, NPI 1790806248

MR. TWAN PHANIJPHAND (D.O.) is a healthcare provider. based in Saint louis, Missouri. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS16137 (FL). The NPI Number for MR. TWAN PHANIJPHAND (D.O.) is 1790806248

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. TWAN PHANIJPHAND (D.O.)
NPI
1790806248
Phone
(314) 543-5911
Address
10012 KENNERLY RD
Enumeration Date
3 April 2007
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508554048
Graduation Year
2002 (24 years ago)
PAC ID
4385790930
Group Practice PAC ID
5092753772
Professional Enrollment ID
I20220728000612
Address ID
FL325471139FO1326XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

489 GASTROENTEROLOGY in MO

Provider Addresses for MR. TWAN PHANIJPHAND (D.O.)

  • 10012 KENNERLY RD

    STE 404

    SAINT LOUIS, MO 631282197

    Phone: (314) 543-5911

    Fax: (314) 543-5914

    Type: Mailing

  • 1326 LEWIS TURNER BLVD

    FORT WALTON BEACH, FL 325471139

    Phone: (850) 601-8177

    Fax: (850) 862-0605

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $845.

Total Amount is formed as General ($845) + Research ($0) + Ownership ($0) = $845.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($285).

Total Amount

$845

General + Research + Ownership

Payments

49

Total payment records

General Amount

$845

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2022-07-28

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
I20220728000612IGastroenterologyFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes480195$0
99213Established patient office or other outpatient visit, 20-29 minutes382238$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes142136$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope139136$0
45380Biopsy of large bowel using a flexible endoscope9090$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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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: 5092753772View full group profile
NameSpecialtyState
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists)NY
Infectious DiseaseFL
P O D I A T R YFL
R H E U M A T O L O G YWI
Nurse PractitionerFL
Infectious Disease, Internal MedicineFL
Critical Care (Intensivists), Pulmonary DiseaseFL
Infectious Disease, Internal MedicineIL
Infectious DiseaseGA

Reviews

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Frequently asked questions

Is MR. TWAN PHANIJPHAND (D.O.) listed with a National Provider Identifier?
Yes — MR. TWAN PHANIJPHAND (D.O.) has NPI 1790806248 on file in the registry.
Would MR. TWAN PHANIJPHAND (D.O.) appear as active to a payer?
You can treat MR. TWAN PHANIJPHAND (D.O.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. TWAN PHANIJPHAND (D.O.)?
MR. TWAN PHANIJPHAND (D.O.)'s specialty line reads Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. TWAN PHANIJPHAND (D.O.)?
Travel planning: use Saint Louis, Missouri as the reference point for MR. TWAN PHANIJPHAND (D.O.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.