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

Siwadon Pitukweerakul, MD

Individual provider Internal Medicine Physician · NPI 1487063087

Siwadon Pitukweerakul, MD is an Endocrinology in Saint Paul, Minnesota. Qualified in 2011, 15 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Kansas, Minnesota and Wisconsin.

Years since qualifying
15
Licensed in
IL, KS, MN, WI
In the registry since
2014
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

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone: (651) 254-7870
Fax: (651) 254-7876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N Oak Ave, Marshfield, WI 54449-5703 — (715) 387-5484

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 71044 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125064744 (IL)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 70060 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 94-09342 (KS)

Record details

NPI number1487063087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations20 on file with Medicare

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