Active NPI
Krisda H Chaiyachati, MD, MPH
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD453616
- Practice address
- 3900 Woodland Ave
Philadelphia, PA 19104-4551 - Phone
- (215) 823-5800
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 052881 | CT | |
| Internal Medicine Physician | 207R00000X | MD453616 | PA | Primary |
Addresses
Primary practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Mailing address
423 Guardian Dr
1301 Blockley Hall
Philadelphia, PA 19104-4865
Phone (215) 573-9328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Michigan Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Internal Medicine | Current | Accepting new patients |
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health Syst | Internal Medicine | Current | Accepting new patients |
| University of Penn-Medical Group | Internal Medicine | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Trustees of the University of Pennsylvania | Internal Medicine | Past | Accepting new patients |
| University of Penn - Medical Group | Past | Accepting new patients | |
| Lancaster General Medical Group | Past | Accepting new patients |
Locations
620 Spear St
Oxford, PA 19363
Phone (610) 932-9300
3400 Civic Center Blvd
Fl 1E
Philadelphia, PA 19104
Phone (215) 615-5252
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Spruce St
Fl 5
Philadelphia, PA 19104
Phone (215) 662-2777
3701 Market St
Fl 6
Philadelphia, PA 19104
Phone (215) 662-2250
1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Interoperability endpoints
- kchaiyachati@direct.wtbyhosp.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
Internal Medicine
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- Internal Medicine Physician
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-
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1790737468
Internal Medicine
-
- Family Medicine Physician
- Oxford, PA
- NPI 1245742618
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1386751089
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Family Medicine Physician
- Strasburg, PA
- NPI 1316912785
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1124882949
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1174812366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 GUARDIAN DR",
"address_2": "1301 BLOCKLEY HALL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044865",
"telephone_number": "215-573-9328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAIYACHATI",
"first_name": "KRISDA",
"middle_name": "H",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "052881",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD453616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.