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KAMOLPHOB PHASUK D.D.S.
NPI 1447638648
Dentist - Prosthodontics in Carmel, IN

Active since May 08, 2015PECOS Enrolled
11405 PENNSYLVANIA ST STE 110, CARMEL, IN 46032(317) 574-0866 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2025, Jan 23, 2023 (2 updates tracked since 2023).

About Kamolphob Phasuk D.d.s. NPPES

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

KAMOLPHOB PHASUK D.D.S. (NPI 1447638648) is an individual prosthodontics provider in Carmel, Indiana, licensed in Indiana (12013111A) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1447638648
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameKAMOLPHOB PHASUKCredential: D.D.S.
Location Address11405 PENNSYLVANIA ST STE 110Carmel, IN 46032-6905
Mailing Address11405 Pennsylvania St Ste 110Carmel, IN 46032-6905
Phone(317) 574-0866
Sole ProprietorYes
Enumeration DateMay 8, 2015
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1447638648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in IN · 12013111A✔ Licensed in TX · 38774
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License 38774 (TX), 12013111A (IN)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 38774 (TX)
11405 PENNSYLVANIA ST STE 110, Carmel, IN 46032
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Secondary Practice Location 1

Location 11121 W Michigan StIndianapolis, IN 46202-5211 · Phone (317) 274-7433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamolphob Phasuk D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Kamolphob Phasuk's NPI number?

The NPI number for Kamolphob Phasuk is 1447638648. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Kamolphob Phasuk located?

Kamolphob Phasuk practices at 11405 Pennsylvania St Ste 110, Carmel, IN 46032. The listed phone number is (317) 574-0866.

What is Kamolphob Phasuk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Kamolphob Phasuk enrolled in Medicare?

Yes. Kamolphob Phasuk is registered in the Medicare PECOS enrollment system.

What insurance does Kamolphob Phasuk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kamolphob Phasuk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kamolphob Phasuk was last updated on December 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.