SIRISIN KAMSUT MD
NPI 1952047474
Student in an Organized Health Care Education/Training Program in Glendale, CA
About Sirisin Kamsut Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIRISIN KAMSUT MD (NPI 1952047474) is an individual student in an organized health care education/training program in Glendale, California, licensed in (390200000X) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
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
Sirisin Kamsut Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Sirisin Kamsut reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90041
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sirisin Kamsut's NPI number?
The NPI number for Sirisin Kamsut is 1952047474. It was assigned to this individual provider in the NPPES registry on May 8, 2022.
Where is Sirisin Kamsut located?
Sirisin Kamsut practices at 1509 Wilson Terrace, Glendale, Ca 91206, Glendale, CA 91206. The listed phone number is (818) 409-8000.
What is Sirisin Kamsut's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sirisin Kamsut enrolled in Medicare?
Yes. Sirisin Kamsut 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 organization bills Medicare for Sirisin Kamsut's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sirisin Kamsut reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Sirisin Kamsut'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 Sirisin Kamsut was last updated on May 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sirisin Kamsut, MD · NPI 1952047474
Student in an Organized Health Care Education/Training Program provider in Glendale, California. Individual provider, active in the CMS NPPES registry since May 8, 2022.
## Identity
- **NPI:** 1952047474 (Entity type: Individual)
- **Enumerated:** May 8, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1509 WILSON TERRACE, GLENDALE, CA 91206, Glendale, CA 91206
- **Phone:** (818) 409-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013409044, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** May 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1952047474) · Data from the CMS NPPES public registry.