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

Dr. Kornpong Vantanasiri, MD

Individual provider Gastroenterology Physician · NPI 1437640489

Dr. Kornpong Vantanasiri, MD is a Gastroenterology in Mankato, Minnesota. Qualified in 2015, 11 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Minnesota.

Years since qualifying
11
Licensed in
AZ, MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 625-4031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 — (480) 301-8000
  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 69207 (MN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 72502 (AZ)

Record details

NPI number1437640489
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mankato