DR. MALEEWAN KITCHAROENSAKKUL (MD) – Pediatric Rheumatology Physician, NPI 1609031558
Pediatric Rheumatology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MALEEWAN KITCHAROENSAKKUL (MD)
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
C B 8116
SAINT LOUIS, MO 631101010
Phone: (314) 454-2694
Fax: (314) 454-2515
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 454-2694
Fax: (314) 454-2515
Type: Mailing
1 CHILDRENS PL
MSC 8515-87-1200
SAINT LOUIS, MO 631101002
Phone: (314) 454-2694
Fax: (314) 454-2515
Type: Mailing
Saint Louis Childrens Hospital School, 1, Children's Place, Central West End, City of Saint Louis, Missouri, 63110, United States
DIV PED ALLERGY/IMMUNO/PULMO
SAINT LOUIS, MO 631101002
Phone: (314) 454-2694
Fax: (314) 454-2515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $4,094.
Total Amount is formed as General ($4,094) + Research ($0) + Ownership ($0) = $4,094.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Pharming Healthcare, Inc. ($2,000).
Total Amount
$4,094
General + Research + Ownership
Payments
4
Total payment records
General Amount
$4,094
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharming Healthcare, Inc. | $2,000 |
| Horizon Therapeutics plc | $1,980 |
| GENZYME CORPORATION | $114 |
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: 2015-07-24
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 |
|---|---|---|---|---|
| I20150724009857 | I | Allergy/Immunology | MO | 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 63110)
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