DR. RICK SIRIRATSIVAWONG MD
NPI 1669615902
Internal Medicine - Pulmonary Disease in Montclair, CA

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment
9525 MONTE VISTA AVE STE 105, MONTCLAIR, CA 91763(909) 626-1205 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2023, Jul 13, 2022, Feb 4, 2016 (3 updates tracked since 2016).

About Dr. Rick Siriratsivawong Md NPPES

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

DR. RICK SIRIRATSIVAWONG MD (NPI 1669615902) is an individual pulmonary disease provider in Montclair, California, licensed in California (A136964) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1669615902
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RICK SIRIRATSIVAWONGCredential: MD
Location Address9525 MONTE VISTA AVE STE 105Montclair, CA 91763-2231
Mailing Address9525 Monte Vista Ave Ste 105Montclair, CA 91763-2231 · (909) 626-1205 · Fax (909) 625-1977
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 16, 2009
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1669615902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A136964
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
9525 MONTE VISTA AVE STE 105, Montclair, CA 91763

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. Rick Siriratsivawong Md 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 ID9133430275
PECOS Enrollment IDI20150616002615
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
595 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
162 services52 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
122 services47 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
78 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services42 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
66 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91763 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers15 claims15 services$33.25 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers18 claims18 services$70.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers17 claims46 services$30.33 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$14.07 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers12 claims12 services$10.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers27 claims162 services$1.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Pulmonary Disease)
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763
Internal Medicine (Pulmonary Disease)
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763
Internal Medicine (Pulmonary Disease)
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763
Internal Medicine
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763
Internal Medicine
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763
Hospitalist
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763
Hospitalist
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763
Internal Medicine
9525 MONTE VISTA AVE STE 105
MONTCLAIR, CA 91763

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 Rick Siriratsivawong's NPI number?

The NPI number for Rick Siriratsivawong is 1669615902. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Rick Siriratsivawong located?

Rick Siriratsivawong practices at 9525 Monte Vista Ave Ste 105, Montclair, CA 91763. The listed phone number is (909) 626-1205.

What is Rick Siriratsivawong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rick Siriratsivawong enrolled in Medicare?

Yes. Rick Siriratsivawong 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 Rick Siriratsivawong was last updated on August 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.