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HATTANAS KUMCHAI DMD
NPI 1871151472
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
909 WALNUT ST RM 300, PHILADELPHIA, PA 19107(215) 503-6215 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Hattanas Kumchai Dmd NPPES

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

HATTANAS KUMCHAI DMD (NPI 1871151472) is an individual oral and maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS042204) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871151472
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameHATTANAS KUMCHAICredential: DMD
Location Address909 WALNUT ST RM 300Philadelphia, PA 19107-5211
Mailing Address3411 Chestnut St Apt 509Philadelphia, PA 19104-5519 · (857) 210-2390
Phone(215) 503-6215
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 30, 2019
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1871151472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS042204
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
909 WALNUT ST RM 300, Philadelphia, PA 19107
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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

Hattanas Kumchai Dmd 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 ID1254669070
PECOS Enrollment IDI20260604002249
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.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

DR. AUSTIN ROBERT HALE DDS
Oral & Maxillofacial Surgery
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-6215
YU JIN LEE DMD
Student in an Organized Health Care Education/Training Program
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-6215
RAMTIN RAHBARI
Dentist
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
SARA SUPRIYATNO DDS
Student in an Organized Health Care Education/Training Program
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-7118
DAKOTA LAWTON MCKENZIE DDS
Dentist (Oral and Maxillofacial Surgery)
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-6215
DR. GABRIELLA MERCEDES LO MONACO
Student in an Organized Health Care Education/Training Program
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-7118
JOHN HENRY MASI DMD
Dentist (Oral and Maxillofacial Surgery)
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-7118
DR. CHRISTOPHER LOUIS HACKETT DDS
Student in an Organized Health Care Education/Training Program
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-6215

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 Hattanas Kumchai's NPI number?

The NPI number for Hattanas Kumchai is 1871151472. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Hattanas Kumchai located?

Hattanas Kumchai practices at 909 Walnut St Rm 300, Philadelphia, PA 19107. The listed phone number is (215) 503-6215.

What is Hattanas Kumchai's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Hattanas Kumchai enrolled in Medicare?

Yes. Hattanas Kumchai 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.

Is Hattanas Kumchai affiliated with any hospitals?

According to CMS data, Hattanas Kumchai is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Hattanas Kumchai was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.