MRS. CRYSTAL L KITTISOPIKUL (PA-C) – Medical Physician Assistant, NPI 1508107657
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MRS. CRYSTAL L KITTISOPIKUL (PA-C)
2021 N MACARTHUR BLVD
SUITE 350
IRVING, TX 750612219
Phone: (972) 253-2515
Fax: (972) 253-4217
Type: Mailing
19455 DEERFIELD AVE
SUITE 206
LEESBURG, VA 20176
Phone: (703) 858-9608
Fax: (703) 858-9618
Type: Mailing
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 $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($226).
Total Amount
$226
General + Research + Ownership
Payments
2
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $226 |
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: 2024-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240419000772 | I | Physician Assistant | VA | TBD |
| I20240624004787 | I | Physician Assistant | DC | 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 75061)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | VA | |
| Pulmonary Disease | VA | |
| Internal Medicine, Pulmonary Disease, Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists) | VA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | VA |
Reviews
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