DR. CHAD BLAISE KRILICH M.D.
NPI 1932115771
Family Medicine in Santa Rosa, CA
About Dr. Chad Blaise Krilich M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHAD BLAISE KRILICH M.D. (NPI 1932115771) is an individual family medicine provider in Santa Rosa, California, licensed in Washington (MD00042765) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Chad Blaise Krilich 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.
Medicare Billing Reassignments
2Medicare enrollment records show Chad Krilich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Rosa, CA 95405
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Chad Krilich's NPI number?
The NPI number for Chad Krilich is 1932115771. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Chad Krilich located?
Chad Krilich practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (253) 677-1625.
What is Chad Krilich's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Chad Krilich enrolled in Medicare?
Yes. Chad Krilich 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.
Which organizations bill Medicare for Chad Krilich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chad Krilich reassigns Medicare benefits to 2 organizations: Providence Medical Foundation (Santa Rosa, CA) and Permanente Medical Group Inc (Vallejo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chad Krilich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chad Krilich was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Chad Blaise Krilich, M.D. · NPI 1932115771
Family Medicine physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1932115771 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00042765 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (253) 677-1625
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Medical Foundation (NPI 1740584473, Santa Rosa, CA); Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** May 11, 2023
- **Other identifiers:** Medicaid 8389223 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1932115771) · Data from the CMS NPPES public registry.