DR. KANRAMON WATTHANASUNTORN MD
NPI 1952821563
Internal Medicine - Geriatric Medicine in Chicago, IL

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment
2600 S MICHIGAN AVE STE 100, CHICAGO, IL 60616(312) 492-0025 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Jul 12, 2023, Jun 16, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Kanramon Watthanasuntorn Md NPPES

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

DR. KANRAMON WATTHANASUNTORN MD (NPI 1952821563) is an individual geriatric medicine provider in Chicago, Illinois, licensed in Illinois (036151093) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St Bernard Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1952821563
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. KANRAMON WATTHANASUNTORNCredential: MD
Location Address2600 S MICHIGAN AVE STE 100Chicago, IL 60616-2857
Mailing Address2600 S Michigan Ave Ste 100Chicago, IL 60616-2857 · (312) 492-0025
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 23, 2017
Last NPPES UpdateJune 20, 20244 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1952821563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in IL · 036151093
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036151093 (IL)
2600 S MICHIGAN AVE STE 100, Chicago, IL 60616

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

Dr. Kanramon Watthanasuntorn 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.

PECOS PAC ID2567881972
PECOS Enrollment IDI20201005002434, I20251209003042
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Bernard Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140103
Location326 W 64th StChicago, IL 60621 · Cook County
Emergency services

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims28 services$6.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kanramon Watthanasuntorn's NPI number?

The NPI number for Kanramon Watthanasuntorn is 1952821563. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Kanramon Watthanasuntorn located?

Kanramon Watthanasuntorn practices at 2600 S Michigan Ave Ste 100, Chicago, IL 60616. The listed phone number is (312) 492-0025.

What is Kanramon Watthanasuntorn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Kanramon Watthanasuntorn enrolled in Medicare?

Yes. Kanramon Watthanasuntorn 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.

Is Kanramon Watthanasuntorn affiliated with any hospitals?

According to CMS data, Kanramon Watthanasuntorn is affiliated with St Bernard Hospital and University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kanramon Watthanasuntorn was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.