KEATTIYOAT WATTANAKIT MD – NPI #1407821077
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

KEATTIYOAT WATTANAKIT is a physician located in PEORIA, IL. NPPES has assigned the NPI number 1407821077 to KEATTIYOAT WATTANAKIT on February 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Apr 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEATTIYOAT WATTANAKIT below.

NPI Profile for
KEATTIYOAT WATTANAKIT

NPI Number
1407821077
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEATTIYOAT WATTANAKIT
Credentials
MD
Primary location
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Phone: (309) 691-4410 Fax:
Mailing address
PO BOX 9382
PEORIA, IL 61612-9382
Phone: (309) 691-4410 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 IL 036126173
2471C3401X
- Radiologic Technologist / Computed Tomography Radiologic Technologist
207UN0901X
- Nuclear Medicine / Nuclear Cardiology		 IL 036126173
207R00000X
- Internal Medicine		 IL 036126173

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEATTIYOAT WATTANAKIT is affiliated with the following medical group(s):
  • HOSPITAL
    • GRAHAM HOSPITAL ASSOCIATION
      210 WEST WALNUT STREET
      CANTON, IL 61520
    • OSF SAINT ELIZABETH MDL CTR
      1100 EAST NORRIS DRIVE
      OTTAWA, IL 61350
    • SAINT FRANCIS MEDICAL CENTER
      530 NE GLEN OAK AVE
      PEORIA, IL 61637
    • ST JOSEPH MEDICAL CENTER
      2200 E WASHINGTON
      BLOOMINGTON, IL 61701
    • ST MARGARETS HOSPITAL
      600 E 1ST ST
      SPRING VALLEY, IL 61362

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.