CHANAK CHANTACHOTE M.D.
NPI 1093004384
Surgery - Surgical Critical Care in Northport, NY

Active since April 07, 2011
DEPARTMENT OF SURGERY, 79 MIDDLEVILLE RD, NORTHPORT, NY 11725(631) 261-4400 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Aug 1, 2019 (2 updates tracked since 2019).

About Chanak Chantachote M.d. NPPES

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

CHANAK CHANTACHOTE M.D. (NPI 1093004384) is an individual surgical critical care provider in Northport, New York, licensed in California (A143223) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1093004384
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameCHANAK CHANTACHOTECredential: M.D.
Location AddressDEPARTMENT OF SURGERY, 79 MIDDLEVILLE RDNorthport, NY 11725
Mailing AddressDepartment Of Surgery, 79 Middleville RdNorthport, NY 11725 · (631) 261-4400
Sole ProprietorNo
Enumeration DateApril 7, 2011
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1093004384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in CA · A143223
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License A143223 (CA)
DEPARTMENT OF SURGERY, Northport, NY 11725

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 Chanak Chantachote's NPI number?

The NPI number for Chanak Chantachote is 1093004384. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Chanak Chantachote located?

Chanak Chantachote practices at Department Of Surgery 79 Middleville Rd, Northport, NY 11725. The listed phone number is (631) 261-4400.

What is Chanak Chantachote's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Chanak Chantachote was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.