DR. KULLADA PICHAKRON MD
NPI 1700873023
Surgery in Travis Afb, CA

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
60 MSGS/SGCQ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-5188(707) 423-7949 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kullada Pichakron Md NPPES

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

DR. KULLADA PICHAKRON MD (NPI 1700873023) is an individual surgery provider in Travis Afb, California, licensed in California (A92499) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2000).

NPPES Registry Identity

NPI1700873023
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KULLADA PICHAKRONCredential: MD
Location Address60 MSGS/SGCQ, 101 BODIN CIRCLETravis Afb, CA 94535-1800
Mailing Address7056 Browns Valley RdVacaville, CA 95688-9353 · (707) 451-1135
Fax(707) 423-7949
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2000
Enumeration DateOctober 3, 2005
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
NPI 1700873023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A92499
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
60 MSGS/SGCQ, Travis Afb, CA 94535

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. Kullada Pichakron 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 ID5799790598
PECOS Enrollment IDI20060215000679
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 94535 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kullada Pichakron's NPI number?

The NPI number for Kullada Pichakron is 1700873023. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Kullada Pichakron located?

Kullada Pichakron practices at 60 Msgs/Sgcq 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-5188.

What is Kullada Pichakron's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kullada Pichakron enrolled in Medicare?

Yes. Kullada Pichakron 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 Kullada Pichakron was last updated on December 22, 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.