DR. WASAKORN TEN KITTIPONGDAJA (M.D.) – Anesthesiology Physician, NPI 1457746380

DR. WASAKORN TEN KITTIPONGDAJA (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 66331 (WI). The NPI Number for DR. WASAKORN TEN KITTIPONGDAJA (M.D.) is 1457746380

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. WASAKORN TEN KITTIPONGDAJA (M.D.)
NPI
1457746380
Phone
(414) 805-6100
Address
9200 W WISCONSIN AVE
Enumeration Date
28 March 2015
Last Update Date
18 June 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9204333500
Graduation Year
2014 (12 years ago)
PAC ID
8628301991
Group Practice PAC ID
1254357684
Professional Enrollment ID
I20190603000026
Address ID
WI543013505GR744XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,266 ANESTHESIOLOGY in WI

Provider Addresses for DR. WASAKORN TEN KITTIPONGDAJA (M.D.)

  • 9200 W WISCONSIN AVE

    MILWAUKEE, WI 532263522

    Phone: (414) 805-6100

    Fax: (414) 805-6147

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-06-03

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
I20190603000026IAnesthesiologyWITBD

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
01922Anesthesia for x-ray or radiation therapy3131$0
01402Anesthesia for procedure for total knee joint replacement2121$0
00537Anesthesia for procedure to assess heart electrical activity2020$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1818$0
36620Insertion of artery tube for blood sampling or infusion through skin1716$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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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: 1254357684View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YWI
-WI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
A N E S T H E S I O L O G YMS
-WI
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. WASAKORN TEN KITTIPONGDAJA (M.D.)?
NPI 1457746380 is assigned to DR. WASAKORN TEN KITTIPONGDAJA (M.D.) under the national enumeration system.
Is DR. WASAKORN TEN KITTIPONGDAJA (M.D.) active in the national directory?
DR. WASAKORN TEN KITTIPONGDAJA (M.D.)'s public NPI profile is in an active state.
What does DR. WASAKORN TEN KITTIPONGDAJA (M.D.) treat or focus on?
Patients typically see DR. WASAKORN TEN KITTIPONGDAJA (M.D.) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. WASAKORN TEN KITTIPONGDAJA (M.D.)?
The page summarizes Milwaukee, Wisconsin for DR. WASAKORN TEN KITTIPONGDAJA (M.D.); expand the address list for detail.
How can I contact DR. WASAKORN TEN KITTIPONGDAJA (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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