MR. KORNPONG VANTANASIRI M.D.
NPI 1437640489
Internal Medicine - Gastroenterology in Rochester, MN

Q: What is Kornpong Vantanasiri's NPI number?

The NPI number for Kornpong Vantanasiri is 1437640489. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Kornpong Vantanasiri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jul 9, 2024, Jun 3, 2021 and 3 more (6 updates tracked since 2018).

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About Mr. Kornpong Vantanasiri M.d. NPPES

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

MR. KORNPONG VANTANASIRI M.D. (NPI 1437640489) is an individual gastroenterology provider in Rochester, Minnesota, licensed in Minnesota (69207) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437640489

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMR. KORNPONG VANTANASIRICredential: M.D.

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 25, 2018

Last NPPES UpdateJune 3, 20216 updates tracked since enumeration

NPPES CertifiedJune 3, 2021

✔ NPI 1437640489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MN · 69207

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Locations 2

Location 1200 1ST ST SWROCHESTER, MN 55905-0001 · Phone (507) 284-2511

Location 213400 E Shea BlvdScottsdale, AZ 85259-5499 · Phone (480) 301-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Mr. Kornpong Vantanasiri 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 ID8921358052

PECOS Enrollment IDI20210607000965

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240001

Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County

Emergency services Birthing friendly

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

EMILY LEASURE MD

Internal Medicine