KRISDA H CHAIYACHATI MD, MPH
NPI 1174812366
Internal Medicine in Philadelphia, PA

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 823-5800 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krisda H Chaiyachati Md, Mph NPPES

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

KRISDA H CHAIYACHATI MD, MPH (NPI 1174812366) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD453616) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2011).

NPPES Registry Identity

NPI1174812366
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKRISDA H CHAIYACHATICredential: MD, MPH
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551
Mailing Address423 Guardian Dr, 1301 Blockley HallPhiladelphia, PA 19104-4865 · (215) 573-9328
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateJuly 21, 2015
NPI 1174812366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD453616 Licensed in CT · 052881
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3900 WOODLAND AVE, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Krisda H Chaiyachati Md, Mph 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 ID4183848823
PECOS Enrollment IDI20151231001484
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104

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 Krisda Chaiyachati's NPI number?

The NPI number for Krisda Chaiyachati is 1174812366. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Krisda Chaiyachati located?

Krisda Chaiyachati practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 823-5800.

What is Krisda Chaiyachati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Krisda Chaiyachati enrolled in Medicare?

Yes. Krisda Chaiyachati 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.

When was this NPI record last updated?

The NPPES record for Krisda Chaiyachati was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.