Active NPI
Chiradej Napawan, M.D.
- Ophthalmology Physician
- Silvis, IL
National Provider Identifier
1205806197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036066736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036066736 | Medicaid | IL |
Other names 1
- Dr. Chiradej Napawan
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036066736 | IL | MD | Ophthalmology 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.