MR. THOTSAPHONE KHAMPANE P.A.C.
NPI 1164585691
Physician Assistant in Milwaukee, WI
About Mr. Thotsaphone Khampane P.a.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. THOTSAPHONE KHAMPANE P.A.C. (NPI 1164585691) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (822-023) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Thotsaphone Khampane P.a.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
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 Thotsaphone Khampane's NPI number?
The NPI number for Thotsaphone Khampane is 1164585691. It was assigned to this individual provider in the NPPES registry on December 18, 2006.
Where is Thotsaphone Khampane located?
Thotsaphone Khampane practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-6777.
What is Thotsaphone Khampane's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Thotsaphone Khampane enrolled in Medicare?
Yes. Thotsaphone Khampane is registered in the Medicare PECOS enrollment system.
What insurance does Thotsaphone Khampane accept?
Health plans from CareSource (Common Ground Healthcare) list Thotsaphone Khampane 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.
When was this NPI record last updated?
The NPPES record for Thotsaphone Khampane was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mr. Thotsaphone Khampane, P.A.C. · NPI 1164585691
Physician Assistant physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1164585691 (Entity type: Individual)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 822-023 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 945 N 12TH ST, Milwaukee, WI 53233-1305
- **Phone:** (414) 219-6777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 6, 2024
- **Other identifiers:** Medicaid 42966900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1164585691) · Data from the CMS NPPES public registry.