1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Surgery
  6. NPI Profile

MISS PATTAMON SUTTHATARN MD
NPI 1386130102
Surgery - Pediatric Surgery in Saint Louis, MO

Active since July 04, 2018PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 782-0489 Get Directions Write a Review

NPPES record last updated: July 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Pattamon Sutthatarn Md NPPES

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

MISS PATTAMON SUTTHATARN MD (NPI 1386130102) is an individual pediatric surgery provider in Saint Louis, Missouri, licensed in Missouri (2018007553) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386130102
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameMISS PATTAMON SUTTHATARNCredential: MD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address3949 Lindell Blvd Apt 3037Saint Louis, MO 63108-3280 · (314) 782-0489
Phone(314) 782-0489
Sole ProprietorNo
Enumeration DateJuly 4, 2018
✔ NPI 1386130102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MO · 2018007553
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1465 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Pattamon Sutthatarn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Pattamon Sutthatarn's NPI number?

The NPI number for Pattamon Sutthatarn is 1386130102. It was assigned to this individual provider in the NPPES registry on July 4, 2018.

Where is Pattamon Sutthatarn located?

Pattamon Sutthatarn practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 782-0489.

What is Pattamon Sutthatarn's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Pattamon Sutthatarn enrolled in Medicare?

Yes. Pattamon Sutthatarn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pattamon Sutthatarn was last updated on July 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.