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SASIWAN W KAMTHONG F.N.P.
NPI 1457308967
Nurse Practitioner - Family in Garland, TX

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
2636 W WALNUT ST, GARLAND, TX 75042(972) 487-5800(972) 487-9680 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Mar 15, 2021 (2 updates tracked since 2021).

About Sasiwan W Kamthong F.n.p. NPPES

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

SASIWAN W KAMTHONG F.N.P. (NPI 1457308967) is an individual family provider in Garland, Texas, licensed in Texas (AP111202) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1457308967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSASIWAN W KAMTHONGCredential: F.N.P.
Location Address2636 W WALNUT STGarland, TX 75042-6485
Mailing Address122 W John Carpenter Fwy Ste 420Irving, TX 75039-2014 · (972) 957-3000 · Fax (972) 957-3005
Phone(972) 487-5800
Fax(972) 487-9680
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 28, 2006
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1457308967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP111202
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP111202 (TX)
2636 W WALNUT ST, Garland, TX 75042
Open in Google Maps ↗

Other Identifiers 1

Medicaid147897601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sasiwan W Kamthong F.n.p. 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 ID6608035068
PECOS Enrollment IDI20120305000674
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

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 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.
28 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA BRINK
Nurse Practitioner (Family)
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
MR. EMMANUEL AZU OMEHE BACHELOR OF PHARMACY
Pharmacist
2636 W WALNUT ST, STE 300
GARLAND, TX 75042
Dallas County (214) 703-9000
GLENN G DESHAW OD PA
Optometrist
2636 W WALNUT ST, STE. 200
GARLAND, TX 75042
Dallas County (972) 485-0700
CARMELINA MARIN PA-C
Physician Assistant
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
GLENN GORDON DESHAW O.D.
Optometrist
2636 W WALNUT ST, STE 200
GARLAND, TX 75042
Dallas County (972) 485-0700
MACKENZIE MAUSS DNP
Nurse Practitioner (Family)
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
NGOC-OANH NGUYEN-TONG D.C.
Chiropractor
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
PEDRO GUERRA NP-C
Nurse Practitioner
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800

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 Sasiwan Kamthong's NPI number?

The NPI number for Sasiwan Kamthong is 1457308967. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Sasiwan Kamthong located?

Sasiwan Kamthong practices at 2636 W Walnut St, Garland, TX 75042. The listed phone number is (972) 487-5800.

What is Sasiwan Kamthong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sasiwan Kamthong enrolled in Medicare?

Yes. Sasiwan Kamthong 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.

What insurance does Sasiwan Kamthong accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sasiwan Kamthong 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 Sasiwan Kamthong was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.