Individual provider Active NPI

Chokechai Rongkavilit, M.D.

  • Pediatric Infectious Diseases Physician
  • Phoenix, AZ
National Provider Identifier
1245277730
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
72130 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-1060
Fax
(602) 933-8982
NPI assigned
Jun 1, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 72130 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124

Other identifiers 1

IdentifierTypeStateIssuer
209744MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160303002391 CA Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 4880889096 Reassigns benefits to 4 organizations
I20240429001316 AZ Practitioner - Infectious Disease 4880889096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72130AZMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children's Specialty Medical Group, Inc. CurrentSince Apr 18, 2016 Accepting new patients
Community Foundation Medical Group Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Community Foundation Medical Group CurrentSince Jun 1, 2019 Accepting new patients
Valley Children's Medical Group CurrentSince Apr 18, 2016 Accepting new patients
Phoenix Children's Medical Group CurrentSince Mar 16, 2024 Accepting new patients
Phoenix Children's Medical Group CurrentSince Mar 16, 2024 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Phoenix Children's Hospital Current Accepting new patients
Community Health Partners CurrentSince Nov 1, 2020 Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

726 N Medical Center Dr E
Ste 209
Clovis, CA 93611
Phone (559) 325-5656

215 N Fresno St
Ste 370
Fresno, CA 93701
Phone (559) 459-2327

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1245277730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160008",
            "telephone_number": "602-933-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-1060",
            "fax_number": "602-933-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONGKAVILIT",
        "first_name": "CHOKECHAI",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "AZ",
            "license": "72130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209744",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.