1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Physician Assistant
  6. NPI Profile

KRIS THANESJESDAPONG
NPI 1760120448
Physician Assistant in Las Vegas, NV

Active since May 23, 2022PECOS Enrolled
8192 SORREL ST, LAS VEGAS, NV 89139(702) 588-3306 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kris Thanesjesdapong NPPES

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

KRIS THANESJESDAPONG (NPI 1760120448) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA2828) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760120448
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKRIS THANESJESDAPONG
Location Address8192 SORREL STLas Vegas, NV 89139-6905
Mailing Address8192 Sorrel StLas Vegas, NV 89139-6905
Phone(702) 588-3306
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2022
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1760120448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA2828
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8192 SORREL ST, Las Vegas, NV 89139
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kris Thanesjesdapong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345780698
PECOS Enrollment IDI20260227003837
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 89139 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 Kris Thanesjesdapong's NPI number?

The NPI number for Kris Thanesjesdapong is 1760120448. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Kris Thanesjesdapong located?

Kris Thanesjesdapong practices at 8192 Sorrel St, Las Vegas, NV 89139. The listed phone number is (702) 588-3306.

What is Kris Thanesjesdapong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kris Thanesjesdapong enrolled in Medicare?

Yes. Kris Thanesjesdapong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kris Thanesjesdapong was last updated on March 27, 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.