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KANTIMA PHISITKUL MD
NPI 1063604726
Internal Medicine - Nephrology in Sioux City, IA

Active since August 15, 2007PECOS EnrolledAccepts Medicare Assignment
2720 STONE PARK BLVD, SIOUX CITY, IA 51104(712) 279-3500(712) 279-3640 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kantima Phisitkul Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANTIMA PHISITKUL MD (NPI 1063604726) is an individual nephrology provider in Sioux City, Iowa, licensed in Iowa (38776) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1063604726
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameKANTIMA PHISITKULCredential: MD
Location Address2720 STONE PARK BLVDSioux City, IA 51104-3734
Mailing Address2720 Stone Park BlvdSioux City, IA 51104-3734 · (712) 279-3500 · Fax (712) 279-3640
Phone(712) 279-3500
Fax(712) 279-3640
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 15, 2007
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1063604726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IA · 38776
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 38776 (IA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP1-0024170 (TX)
2720 STONE PARK BLVD, Sioux City, IA 51104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 Highway 6 WIowa City, IA 52246-2209 · Phone (319) 338-0581 · Fax (319) 887-4983

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kantima Phisitkul Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820121312
PECOS Enrollment IDI20100804000779
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kantima Phisitkul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siouxland Hospitalists PLLC
Same address
Internal Medicine
2720 STONE PARK BLVD STE 335
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 30 clinicians in this Medicare group
NPI 1831598614 (605) 937-5537
Iowa Physicians Clinic Medical Foundation
23 mi
Rural Health
111 MAIN ST
Kingsley, IA 51028
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1659263523 (712) 378-2921

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
611 services224 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
333 services168 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
190 services185 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
156 services153 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Horn Memorial Hospital

Critical Access Hospitals · Ida Grove, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161354
Location701 E 2nd StIda Grove, IA 51445 · Ida County
Emergency services

Burgess Health Center

Critical Access Hospitals · Onawa, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161359
Location1600 Diamond StreetOnawa, IA 51040 · Monona County
Emergency services

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Loring Hospital

Critical Access Hospitals · Sac City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161370
Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK S CARLSON DO
Anesthesiology
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 279-3209
LANCE D BREIT CRNA
Nurse Anesthetist, Certified Registered
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 255-2324
ROBERT BACZWASKI CRNA
Nurse Anesthetist, Certified Registered
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 255-2324
RAICHATOU ANN JACKSON
Nurse Anesthetist, Certified Registered
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 279-3500
DANNA NALLELY MARTINEZ RN, BSN
Registered Nurse (Occupational Health)
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 279-3500
RAUL C BANAGALE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 279-3789
PATRICK MENKE CRNA
Nurse Anesthetist, Certified Registered
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 279-3500
ERIC RYAN MONK M.D.
Anesthesiology
2720 STONE PARK BLVD
SIOUX CITY, IA 51104
Woodbury County (712) 279-3290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kantima Phisitkul's NPI number?

The NPI number for Kantima Phisitkul is 1063604726. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Kantima Phisitkul located?

Kantima Phisitkul practices at 2720 Stone Park Blvd, Sioux City, IA 51104. The listed phone number is (712) 279-3500.

What is Kantima Phisitkul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kantima Phisitkul enrolled in Medicare?

Yes. Kantima Phisitkul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kantima Phisitkul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kantima Phisitkul reassigns Medicare benefits to 2 organizations: Siouxland Hospitalists PLLC (Sioux City, IA) and Iowa Physicians Clinic Medical Foundation (Kingsley, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kantima Phisitkul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kantima Phisitkul accept?

Health plans from Avera Health Plans and Wellmark Health Plan of Iowa, Inc. list Kantima Phisitkul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kantima Phisitkul affiliated with any hospitals?

According to CMS data, Kantima Phisitkul is affiliated with St Lukes Regional Medical Center, Horn Memorial Hospital, Burgess Health Center, Cherokee Regional Medical Center and Loring Hospital.

When was this NPI record last updated?

The NPPES record for Kantima Phisitkul was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.