SUKANYA KANTHAWATANA (MD) – Allergy & Immunology Physician, NPI 1447250741
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SUKANYA KANTHAWATANA (MD)
304, West Bay Drive Northwest, Olympia, Thurston County, Washington, 98502, United States
STE 301
OLYMPIA, WA 985024958
Phone: (360) 413-8760
Fax: (360) 413-8839
Type: Mailing
703, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States
SUITE 103
OLYMPIA, WA 985065191
Phone: (360) 413-8760
Fax: (360) 413-8839
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($226).
Total Amount
$251
General + Research + Ownership
Payments
5
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $226 |
| GENZYME CORPORATION | $25 |
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: 2010-03-12
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 |
|---|---|---|---|---|
| I20100312000878 | I | Allergy/Immunology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,604 | 41 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,101 | 35 | $0 |
| 95117 | Professional service for multiple injections of allergen | 435 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 87 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 98502)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | WA | |
| A L L E R G Y/ I M M U N O L O G Y | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | WA |
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