KRISDA H CHAIYACHATI MD, MPH
NPI 1174812366
Internal Medicine in Philadelphia, PA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Krisda Chaiyachati reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 752 clinicians in this Medicare group
Philadelphia, PA 19146
- Reassigned Medicare billing, Pennsylvania enrollment
- 727 clinicians in this Medicare group
Philadelphia, PA 19145
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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.
Which organizations bill Medicare for Krisda Chaiyachati's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krisda Chaiyachati reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Lancaster General Medical Group (Philadelphia, PA) and Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA). 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 Krisda Chaiyachati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Krisda H Chaiyachati, MD, MPH · NPI 1174812366
Internal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 29, 2011.
## Identity
- **NPI:** 1174812366 (Entity type: Individual)
- **Enumerated:** March 29, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD453616 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3900 WOODLAND AVE, Philadelphia, PA 19104-4551
- **Phone:** (215) 823-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1386751089, Philadelphia, PA); Lancaster General Medical Group (NPI 1154883171, Philadelphia, PA); Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1508380452, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2011
## Record status
- **NPPES last updated:** July 21, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1174812366) · Data from the CMS NPPES public registry.