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DR. KRIS NAOWAMONDHOL D.O
NPI 1508216995
Anesthesiology in Salt Lake City, UT

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
30 N 1900 E, ROOM 3C444, SALT LAKE CITY, UT 84132(801) 581-6393 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2024, May 5, 2022, Apr 19, 2022 and 5 more (8 updates tracked since 2016).

About Dr. Kris Naowamondhol D.o NPPES

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

DR. KRIS NAOWAMONDHOL D.O (NPI 1508216995) is an individual anesthesiology provider in Salt Lake City, Utah, licensed in California (20A18839) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508216995
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KRIS NAOWAMONDHOLCredential: D.O
Location Address30 N 1900 E, ROOM 3C444Salt Lake City, UT 84132-2501
Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (833) 574-2273
Phone(801) 581-6393
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateApril 9, 20248 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1508216995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in CA · 20A18839✔ Licensed in UT · 10514829-1204
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
30 N 1900 E, Salt Lake City, UT 84132
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kris Naowamondhol D.o 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 ID4880960277
PECOS Enrollment IDI20210616002045
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kris Naowamondhol reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
3.5 mi
Orthopaedic Surgery
590 S WAKARA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1932503430 (801) 581-2121
Southern California Permanente Medical Group
535 mi
Health Maintenance Organization
3733 SAN DIMAS ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1861424376 (800) 353-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ANNE WIERMAN ESTARES D.O.
Anesthesiology
30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (719) 314-5254
DR. JEFFREY DAVID DILLON M.D.
Anesthesiology
30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6393
QUINTON ALLRED PA-C
Physician Assistant (Medical)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7822
JEREMY ROYLE STODDART MD
Psychiatry & Neurology (Psychiatry)
30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132
Salt Lake County (801) 581-2121
DR. STEPHEN JAMES SUMMERS M.D.
Urology
30 N 1900 E, RM 3B420
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-2700
CHRISTINA MARIE DERBIDGE PHD
Psychologist (Clinical)
30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6228
ANDRIA HOLMES HOLT RN
Nurse Practitioner (Obstetrics & Gynecology)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7647
ANDY NGUYEN
Internal Medicine
30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899

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 Kris Naowamondhol's NPI number?

The NPI number for Kris Naowamondhol is 1508216995. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Kris Naowamondhol located?

Kris Naowamondhol practices at 30 N 1900 E Room 3c444, Salt Lake City, UT 84132. The listed phone number is (801) 581-6393.

What is Kris Naowamondhol's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kris Naowamondhol enrolled in Medicare?

Yes. Kris Naowamondhol 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.

Which organizations bill Medicare for Kris Naowamondhol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kris Naowamondhol reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and Southern California Permanente Medical Group (Bakersfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kris Naowamondhol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kris Naowamondhol was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.