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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KRUAWAN - PAKSAICHOL M.D.
NPI 1417949686
Internal Medicine in Brooklyn, NY

Active since August 15, 2005PECOS Enrolled
123 PENNSYLVANIA AVE, BROOKLYN, NY 11207(718) 922-3765(718) 922-3765 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kruawan - Paksaichol M.d. NPPES

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

DR. KRUAWAN - PAKSAICHOL M.D. (NPI 1417949686) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (135912) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1417949686
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KRUAWAN - PAKSAICHOLCredential: M.D.
Location Address123 PENNSYLVANIA AVEBrooklyn, NY 11207-2428
Mailing Address25555 149th AveRosedale, NY 11422-2812 · (718) 712-2849 · Fax (718) 922-3765
Phone(718) 922-3765
Fax(718) 922-3765
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417949686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 135912
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
123 PENNSYLVANIA AVE, Brooklyn, NY 11207
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Other Identifiers 1

Medicaid00427610NY

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. Kruawan - Paksaichol M.d. 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 ID3274676366
PECOS Enrollment IDI20100212000060
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services34 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11207 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Kruawan Paksaichol's NPI number?

The NPI number for Kruawan Paksaichol is 1417949686. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Kruawan Paksaichol located?

Kruawan Paksaichol practices at 123 Pennsylvania Ave, Brooklyn, NY 11207. The listed phone number is (718) 922-3765.

What is Kruawan Paksaichol's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kruawan Paksaichol enrolled in Medicare?

Yes. Kruawan Paksaichol 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.

When was this NPI record last updated?

The NPPES record for Kruawan Paksaichol was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.