DR. DISAYA CHAVALITDHAMRONG M.D.
NPI 1376708289
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
1600 SW ARCHER RD, SHANDS AT THE UNIVERSITY OF FLORIDA, GAINESVILLE, FL 32610(352) 273-9477 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Disaya Chavalitdhamrong M.d. NPPES

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

DR. DISAYA CHAVALITDHAMRONG M.D. (NPI 1376708289) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1376708289
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. DISAYA CHAVALITDHAMRONGCredential: M.D.
Location Address1600 SW ARCHER RD, SHANDS AT THE UNIVERSITY OF FLORIDAGainesville, FL 32610-3003
Mailing Address1600 Sw Archer Rd, Shands At The University Of FloridaGainesville, FL 32610-3003
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 21, 2008
Last NPPES UpdateDecember 6, 2021
NPI 1376708289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610

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

Dr. Disaya Chavalitdhamrong M.d. 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 ID3971738311
PECOS Enrollment IDI20150202000008
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.

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.

Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610

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 Disaya Chavalitdhamrong's NPI number?

The NPI number for Disaya Chavalitdhamrong is 1376708289. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Disaya Chavalitdhamrong located?

Disaya Chavalitdhamrong practices at 1600 SW Archer Rd Shands At The University Of Florida, Gainesville, FL 32610. The listed phone number is (352) 273-9477.

What is Disaya Chavalitdhamrong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Disaya Chavalitdhamrong enrolled in Medicare?

Yes. Disaya Chavalitdhamrong 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 Disaya Chavalitdhamrong was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.