THANA KRISDAKUMTORN DPM
NPI 1487765863
Podiatrist - Sports Medicine in Palo Alto, CA

Q: What is Thana Krisdakumtorn's NPI number?

The NPI number for Thana Krisdakumtorn is 1487765863. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Thana Krisdakumtorn's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 330-4529 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thana Krisdakumtorn Dpm NPPES

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

THANA KRISDAKUMTORN DPM (NPI 1487765863) is an individual sports medicine provider in Palo Alto, California, licensed in California (E4241) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1487765863

Entity TypeIndividualMale

Primary Taxonomy213ES0000X

Provider Legal NameTHANA KRISDAKUMTORNCredential: DPM

Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 853-2986

Phone(650) 330-4529

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateAugust 31, 2006

Last NPPES UpdateMarch 4, 2020

NPPES CertifiedMarch 4, 2020

✔ NPI 1487765863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0000X

License✔ Licensed in CA · E4241

795 EL CAMINO REAL, Palo Alto, CA 94301

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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

Thana Krisdakumtorn Dpm 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 ID2567536659

PECOS Enrollment IDI20080807000467

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 9

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

348 services137 patients

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.

205 services155 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

202 services202 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.

154 services138 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

105 services54 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

49 services19 patients

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.

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