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

Kantima Phisitkul, MD

Individual provider Internal Medicine Physician · NPI 1063604726

Kantima Phisitkul, MD is a Nephrology in Sioux City, Iowa. Qualified in 1997, 29 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and Texas.

Years since qualifying
29
Licensed in
IA, TX
In the registry since
2007
Specialties on file
3
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

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone: (712) 279-3500
Fax: (712) 279-3640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Highway 6 W, Iowa City, IA 52246-2209 — (319) 338-0581

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 38776 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 38776 (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP1-0024170 (TX)

Record details

NPI number1063604726
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address2720 Stone Park Blvd, Sioux City, IA 51104-3734

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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