SRIVADEE ORAVIVATTANAKUL (MD) – Neurology Physician, NPI 1306097084
Neurology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,738 NEUROLOGY in TX
Provider Addresses for SRIVADEE ORAVIVATTANAKUL (MD)
907 PANTHER LN
ALLEN, TX 750134879
Phone: (612) 423-6261
Type: Location
240, West Thomas Road, Encanto, Phoenix, Maricopa County, Arizona, 85013-4408, United States
SUITE 301
PHOENIX, AZ 850134407
Phone: (602) 406-6262
Fax: (602) 406-4522
Type: Mailing
Halifax Health Medical Center, 303, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321142709
Phone: (386) 425-0141
Fax: (386) 226-4577
Type: Location
1701 S Creasy Ln
Lafayette, IN 479054972
Phone: (765) 502-4400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $647.
Total Amount is formed as General ($647) + Research ($0) + Ownership ($0) = $647.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($150).
Total Amount
$647
General + Research + Ownership
Payments
39
Total payment records
General Amount
$647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $150 |
| PFIZER INC. | $146 |
| Novartis Pharmaceuticals Corporation | $82 |
| Boston Scientific Corporation | $44 |
| UCB, Inc. | $44 |
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: 2023-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20220311001346 | I | Neurology | NJ | TBD |
| I20220408001277 | I | Neurology | WI | TBD |
| I20230326000153 | I | Neurology | VA | TBD |
| I20231018003380 | I | Neurology | TX | 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 75013)
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