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KHAN CHAICHANA MD
NPI 1063779015
Anesthesiology in Portland, OR

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment
86.23/100
CMS Quality Rating
3157 SW FAIRMOUNT BLVD, PORTLAND, OR 97239(801) 414-5090 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2023, Jul 10, 2023, Oct 10, 2018 and 1 more (4 updates tracked since 2016).

About Khan Chaichana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHAN CHAICHANA MD (NPI 1063779015) is an individual anesthesiology provider in Portland, Oregon, licensed in Oregon (MD184749) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063779015
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameKHAN CHAICHANACredential: MD
Location Address3157 SW FAIRMOUNT BLVDPortland, OR 97239-1441
Mailing Address3157 Sw Fairmount BlvdPortland, OR 97239-1441 · (801) 414-5090
Phone(801) 414-5090
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 16, 2012
Last NPPES UpdateNovember 20, 20234 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1063779015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in OR · MD184749✔ Licensed in MA · 266820
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3157 SW FAIRMOUNT BLVD, Portland, OR 97239
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Secondary Practice Locations 2

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-7641 · Fax (503) 494-4661
Location 23600 NW Samaritan DrCorvallis, OR 97330-5472 · Phone (541) 768-5111

Other Identifiers 1

Medicaid500733898OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khan Chaichana Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294963229
PECOS Enrollment IDI20171116001504
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Khan Chaichana reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oregon Anesthesiology Group PC
2.4 mi
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 271 clinicians in this Medicare group
NPI 1477527786 (503) 299-9906
Hospitalist Medicine Physicians Of Washington - Tcs
4.9 mi
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
NPI 1649816380 (503) 215-1111
Columbia Anesthesia Group P S
11 mi
Anesthesiology
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
  • Reassigned Medicare billing, Oregon enrollment
  • 108 clinicians in this Medicare group
NPI 1861448235 (360) 828-5396
Premier Anesthesia Of Oregon PC
17 mi
Anesthesiology
1001 N PROVIDENCE DR
Newberg, OR 97132
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group
NPI 1154010429 (678) 690-7816
University Anesthesiology Associates, LLC
Anesthesiology
3181 SW SAM JACKSON PARK RD, MAILCODE: SJH-2
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 279 clinicians in this Medicare group
NPI 1841217817 (503) 494-4910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.89
Promoting Interoperability100
Improvement Activities40
Cost66.46

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khan Chaichana's NPI number?

The NPI number for Khan Chaichana is 1063779015. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Khan Chaichana located?

Khan Chaichana practices at 3157 SW Fairmount Blvd, Portland, OR 97239. The listed phone number is (801) 414-5090.

What is Khan Chaichana's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Khan Chaichana enrolled in Medicare?

Yes. Khan Chaichana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Khan Chaichana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khan Chaichana reassigns Medicare benefits to 5 organizations: Oregon Anesthesiology Group PC (Portland, OR), Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR), Columbia Anesthesia Group P S (Vancouver, WA), Premier Anesthesia Of Oregon PC (Newberg, OR) and University Anesthesiology Associates, LLC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khan Chaichana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Khan Chaichana affiliated with any hospitals?

According to CMS data, Khan Chaichana is affiliated with Providence St Vincent Medical Center and Providence Newberg Medical Center.

When was this NPI record last updated?

The NPPES record for Khan Chaichana was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.