Individual provider Active NPI

Chiradej Napawan, M.D.

  • Ophthalmology Physician
  • Silvis, IL
National Provider Identifier
1205806197
Registry record updated Jul 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036066736 Issued in IL
Practice address
855 Illini Dr
Suite 201
Silvis, IL 61282-2907
Phone
(309) 792-7897
Fax
(309) 792-7898
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036066736 IL Primary

Addresses

Primary practice location

855 Illini Dr
Suite 201
Silvis, IL 61282-2907

Mailing address

101 S Burr Blvd
Suite a
Kewanee, IL 61443-2257
Phone (309) 852-0409

Other identifiers 1

IdentifierTypeStateIssuer
036066736MedicaidIL

Other names 1

  • Dr. Chiradej Napawan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810001122 IL Practitioner - Ophthalmology 4486788650 Practice locations: Kewanee, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036066736ILMDOphthalmology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405123200000",
    "number": "1205806197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BURR BLVD",
            "address_2": "SUITE A",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432257",
            "telephone_number": "309-852-0409",
            "fax_number": "309-852-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ILLINI DR",
            "address_2": "SUITE 201",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822907",
            "telephone_number": "309-792-7897",
            "fax_number": "309-792-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPAWAN",
        "first_name": "CHIRADEJ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036066736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066736",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIRADEJ",
            "last_name": "NAPAWAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.