DR. KEATTIYOAT WATTANAKIT MD
NPI 1407821077
Internal Medicine - Cardiovascular Disease in Peoria, IL
About Dr. Keattiyoat Wattanakit Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEATTIYOAT WATTANAKIT MD (NPI 1407821077) is an individual cardiovascular disease provider in Peoria, Illinois, licensed in Illinois (036126173) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 4
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
Dr. Keattiyoat Wattanakit 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.
Medicare Billing Reassignments
2Medicare enrollment records show Keattiyoat Wattanakit reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Glasford, IL 61533
- Reassigned Medicare billing, Illinois enrollment
- 134 clinicians in this Medicare group
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 44
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Graham Hospital Association
Acute Care Hospitals · Canton, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILSt Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61614 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.
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
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 Keattiyoat Wattanakit's NPI number?
The NPI number for Keattiyoat Wattanakit is 1407821077. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is Keattiyoat Wattanakit located?
Keattiyoat Wattanakit practices at 5405 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-4410.
What is Keattiyoat Wattanakit's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Keattiyoat Wattanakit enrolled in Medicare?
Yes. Keattiyoat Wattanakit 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 Keattiyoat Wattanakit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keattiyoat Wattanakit reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Graham Hospital Association (Glasford, IL). 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 Keattiyoat Wattanakit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Keattiyoat Wattanakit affiliated with any hospitals?
According to CMS data, Keattiyoat Wattanakit is affiliated with Graham Hospital Association, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr and St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Keattiyoat Wattanakit was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.