Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114083888 Individual Practitioner Male Practitioner

Dr. Sirisak Suntharasantic , MD

Pediatrics • Alton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sirisak Suntharasantic, MD is a registered healthcare professional specializing in Pediatrics in Alton, IL. Practice services are available at 4 MEMORIAL DR STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4 Memorial Dr Ste 210

Alton, IL 620026751

Telephone 6184630649
Fax 6184633390
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Alton, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036048367

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036048367 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1396774485

Doctor of Medicine (M.D.)

Rutendo Nkomo

Pediatrics

NPI 1861841454
NPI 1902909492

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 03, 2018

Registered at 4 MEMORIAL DR STE 210, ALTON, IL 620026751 (Tel: 6184630649)

📍
Updated Business Mailing Address May 03, 2018

Registered at 4 MEMORIAL DR STE 210, ALTON, IL 620026751 (Tel: 6184630649)

NPI Profile Active November 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2011

Registered at 550 LANDMARKS BLVD, ALTON, IL 620026321 (Tel: 6184630649)

📍
Updated Business Mailing Address November 18, 2011

Registered at 550 LANDMARKS BLVD, ALTON, IL 620026321 (Tel: 6184630649)

👤
Provider Name / Credentials Updated November 18, 2011

Recorded as SIRISAK SUNTHARASANTIC, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2011

Pediatrics (License #036048367 in IL)

🟢
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114083888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: May 03, 2018
Sole Proprietor: No

Mailing Address

4 Memorial Dr Ste 210

Alton, IL 620026751

Phone: 6184630649

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.