DR. KEATTIYOAT WATTANAKIT MD
NPI 1407821077
Internal Medicine - Cardiovascular Disease in Peoria, IL

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
5405 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-4410 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1407821077
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KEATTIYOAT WATTANAKITCredential: MD
Location Address5405 N KNOXVILLE AVEPeoria, IL 61614
Mailing AddressPo Box 9382Peoria, IL 61612-9382 · (309) 691-4410
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 17, 2006
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1407821077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036126173
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036126173 (IL)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 036126173 (IL)
5405 N KNOXVILLE AVE, Peoria, IL 61614

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9234163544
PECOS Enrollment IDI20110222000539
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.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,567 services1,317 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
458 services363 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
387 services382 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
185 services176 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
170 services170 patients
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.
167 services105 patients

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, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician 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.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Physician Assistant
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Practitioner (Acute Care)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Practitioner (Family)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Family Medicine
5405 N KNOXVILLE AVE
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.

Is Keattiyoat Wattanakit affiliated with any hospitals?

According to CMS data, Keattiyoat Wattanakit is affiliated with Graham Hospital Association, St Mary Medical Center, Saint Francis Medical Center 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 with the weekly NPPES data releases published by CMS.