DR. VORAPHOT SATHISSARAT MD NPI 1538156781

NPI Information

NPI: 1538156781
Provider Name: DR. VORAPHOT SATHISSARAT, MD
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

PECOS Registration: Yes

Address:
2000 GLENWOOD AVE
STE 100
JOLIET, IL
ZIP 60435
Phone: (815) 741-1212
Get Directions

DR. Voraphot Sathissarat, MD is an allergy allergy immunology in Joliet, IL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee DR. Voraphot Sathissarat, MD NPI is 1538156781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2000 GLENWOOD AVE
STE 100
JOLIET, IL
ZIP 60435
Phone: (815) 741-1212
Fax: (815) 741-0707

The NPI 1538156781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 11/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	036046328	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213511	MEDICARE ID-TYPE UNSPECIFIED
2	036046328	MEDICAID	ILLINOIS
3	C45403	MEDICARE UPIN
4	P05625	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
5	K27284	MEDICARE ID-TYPE UNSPECIFIED		INDIVIDUAL
6	09932417	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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