Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keattiyoat Wattanakit, MD

Individual provider Computed Tomography Radiologic Technologist · NPI 1407821077

Dr. Keattiyoat Wattanakit, MD is a Cardiovascular Disease (Cardiology) in Peoria, Illinois. Qualified in 1998, 28 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5405 N Knoxville Ave
Peoria, IL 61614
Phone: (309) 691-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036126173 (IL)
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X
Internal Medicine Physician Taxonomy 207R00000X · Licence 036126173 (IL)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 036126173 (IL)

Record details

NPI number1407821077
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services