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Dr. Sirisak Suntharasantic , MD

Pediatrics β€’ Alton, IL

Active NPI 1114083888 Individual Practitioner Male Practitioner
Practice location in NPPES

4 Memorial Dr Ste 210
Alton, IL 620026751

Call 6184630649 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4 Memorial Dr Ste 210

Alton, IL 620026751

Telephone 6184630649
Fax 6184633390
Organization at the Same NPPES Address or Phone
Southern Illinois Health Care Foundation, Inc. Facility NPI 1376589226

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2019

All general payments: $29.31 across 2 records.

By nature of payment

  • Food and Beverage: $29.31 across 2 records.

Reporting-company totals

  • Ironshore Pharmaceuticals Inc.: $17.65 across 1 record.
  • Celgene Corporation: $11.66 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alton and Illinois

11 active clinicians are listed under Pediatrics with a practice address in Alton, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alton

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $29.31.

Manufacturer Payment Nature Product Type Amount ($)
Ironshore Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Jornay PM 20mg capsules (Bottle of 100) General $17.65
Celgene Corporation
Food and Beverage
In-kind items and services
Otezla General $11.66

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
036048367 (IL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Kelsey Beard , FNP-BC, DNP

Nurse Practitioner - Family

NPI 1124612445

Family Nurse Practitioner (Board Certified), Doctor of Nursing Practice

Dr. Jamie Hardman , MD

Obstetrics & Gynecology

NPI 1093060584

Doctor of Medicine (M.D.)

Sharon Jameson , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053714998

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1891365391

Doctor of Medicine (M.D.)

Oghenero Olomukoro , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1437899689

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Jagannath Patil , MD

Psychiatry & Neurology - Psychiatry

NPI 1487768917

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 03, 2018

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

πŸ“
Updated Business Mailing Address May 03, 2018

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

βœ…
NPI Profile Active November 18, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 18, 2011

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

πŸ“
Business Mailing Address (Initial Record) November 18, 2011

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

πŸ‘€
Provider Name / Credentials (Initial Record) November 18, 2011

Recorded as SIRISAK SUNTHARASANTIC, MD

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

Pediatrics (license number reported to NPPES: IL 036048367)

🟒
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.