Individual provider Active NPI

Pirahatai Chamnongvongse, M.D.

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1386995983
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61076541 Issued in WA
Practice address
33431 13TH PL S
Federal Way, WA 98003-6357
Phone
(253) 874-7634
Fax
(253) 874-7635
NPI assigned
Sep 24, 2012
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61076541 WA Primary

Addresses

Primary practice location

33431 13TH PL S
Federal Way, WA 98003-6357

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 520-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pchamnongvongse20029@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210624000376 WA Practitioner - Family Practice 6406008317 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, 175 clinicians

Practice addresses (Care Compare)

10414 Beardslee Blvd
Bothell, WA 98011-3205
Phone (425) 486-0658

16200 116TH Ave SE
Renton, WA 98058-5200
Phone (425) 400-1899

200 S 2ND St
Renton, WA 98057-2011
Phone (425) 226-5536

26401 Pacific Hwy S
Des Moines, WA 98198
Phone (206) 870-3590

403 E Meeker St
Kent, WA 98030-5904
Phone (253) 852-2866

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Family Medicine CurrentSince Sep 15, 2022 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Apr 5, 2021 Accepting new patients
King County Finance CurrentSince Aug 1, 2022 Accepting new patients
King County Finance CurrentSince Aug 1, 2022 Accepting new patients
Healthpoint CurrentSince Sep 25, 2023 Accepting new patients
Healthpoint CurrentSince Sep 25, 2023 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Apr 5, 2021 Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755

401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975

7424 Bridgeport Way W
Tacoma, WA 98499
Phone (253) 581-2111

7424 Bridgeport Way W
Ste 201
Tacoma, WA 98499
Phone (253) 240-2110

13030 Military Rd S
Ste 200
Tukwila, WA 98168
Phone (206) 439-3289

Interoperability endpoints

  • Direct secure messaging: pchamnongvongse20029@healthpoint.direct-ci.com
  • Direct secure messaging: pirahatai.chamnongvongse.p3@direct.hpc.nextgenshare.com

Organizations & group practices 10

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1386995983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33431 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "253-874-7634",
            "fax_number": "253-874-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE PACIFIC ST",
            "address_purpose": "LOCATION",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-520-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMNONGVONGSE",
        "first_name": "PIRAHATAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61076541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pchamnongvongse20029@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "33431 13th Pl S",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980036357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.