Provider Type Icon

THANA KRISDAKUMTORN DPM NPI 1487765863


NPI Profile

NPI: 1487765863
Provider Name: THANA KRISDAKUMTORN, DPM
Classification:Podiatrist - 213ES0000X
Entity Type: Individual

Specialization: Sports Medicine

Organization: SUTTER BAY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301
Get Directions

Phone: (650) 330-4529

Thana Krisdakumtorn, DPM is a sports medicine podiatrist in Palo Alto, CA with 23 years of experience. Thana Krisdakumtorn, DPM NPI is 1487765863. 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:

795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301-302
Phone: (650) 330-4529

The NPI 1487765863 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/4/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0000XPodiatristSports MedicineE4241CALIFORNIAYes

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: 5/9/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.