PHUMPATTRA CHARIYAWONG MD
NPI 1740665553
Hospitalist in Portland, ME

Q: What is Phumpattra Chariyawong's NPI number?

The NPI number for Phumpattra Chariyawong is 1740665553. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Q: What is Phumpattra Chariyawong's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4618(207) 662-6254 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Dec 30, 2021 (2 updates tracked since 2021).

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About Phumpattra Chariyawong Md NPPES

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

PHUMPATTRA CHARIYAWONG MD (NPI 1740665553) is an individual hospitalist provider in Portland, Maine, licensed in Maine (MD30158) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Corpus Christi Medical Center,the, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1740665553

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NamePHUMPATTRA CHARIYAWONGCredential: MD

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-4618 · Fax (207) 662-6254

Phone(207) 662-4618

Fax(207) 662-6254

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 22, 2015

Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1740665553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in ME · MD30158

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License T3600 (TX), MD30158 (ME)

22 BRAMHALL ST, Portland, ME 04102

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Secondary Practice Locations 3

Location 11 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7937 · Fax (207) 283-7018

Location 225 June StSanford, ME 04073-2621 · Phone (207) 324-4310 · Fax (207) 490-7999

Location 33315 S Alameda StCorpus Christi, TX 78411-1820 · Phone (877) 332-4602 · Fax (361) 857-0572

Other Identifiers 1

OtherT3600TX · Texas Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

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

Phumpattra Chariyawong 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 ID7315246337

PECOS Enrollment IDI20211028001288

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450788

Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)