LALIDA CHUPATANAKUL MD
NPI 1235572991
Family Medicine in Gilbert, AZ
About Lalida Chupatanakul Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LALIDA CHUPATANAKUL MD (NPI 1235572991) is an individual family medicine provider in Gilbert, Arizona, licensed in Wisconsin (67552-20) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lalida Chupatanakul Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lalida Chupatanakul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Tan Valley, AZ 85143
- Reassigned Medicare billing, Arizona enrollment
- 184 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 85297 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.
GILBERT, AZ 85297
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 Lalida Chupatanakul's NPI number?
The NPI number for Lalida Chupatanakul is 1235572991. It was assigned to this individual provider in the NPPES registry on April 12, 2013.
Where is Lalida Chupatanakul located?
Lalida Chupatanakul practices at 3285 S Val Vista Dr, Gilbert, AZ 85297. The listed phone number is (480) 397-2800.
What is Lalida Chupatanakul's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lalida Chupatanakul enrolled in Medicare?
Yes. Lalida Chupatanakul is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lalida Chupatanakul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lalida Chupatanakul reassigns Medicare benefits to Banner Urgent Care Services, LLC (San Tan Valley, AZ). The 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 Lalida Chupatanakul'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 Lalida Chupatanakul was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lalida Chupatanakul, MD · NPI 1235572991
Family Medicine physician in Gilbert, Arizona. Individual provider, active in the CMS NPPES registry since April 12, 2013.
## Identity
- **NPI:** 1235572991 (Entity type: Individual)
- **Enumerated:** April 12, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 67552-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3285 S VAL VISTA DR, Gilbert, AZ 85297
- **Phone:** (480) 397-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Urgent Care Services, LLC (NPI 1942653019, San Tan Valley, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1235572991) · Data from the CMS NPPES public registry.