Individual provider Active NPI

Attasit Chokechanachaisakul, M.D.

  • Surgery Physician
  • Detroit, MI
National Provider Identifier
1659517605
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301090360 Issued in MI
Practice address
22101 Moross Rd
Detroit, MI 48236-2148
Phone
(313) 343-4000
NPI assigned
Dec 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301090360 MI Primary

Addresses

Primary practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

22201 Moross Rd
Detroit, MI 48236-2169
Phone (313) 343-3048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 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
I20180321001637 MI Practitioner - General SurgeryPractitioner - Surgical Oncology 1254639644 Reassigns benefits to 2 organizations
I20260330002304 CA Practitioner - Surgical Oncology 1254639644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

19229 Mack Ave
Suite 34
Grosse Pointe Woods, MI 48236-2857
Phone (313) 647-3252

22201 Moross Rd
Suite 214
Detroit, MI 48236-2169
Phone (313) 343-7110

6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090360MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Surgery CurrentSince Jan 14, 2018 Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince May 20, 2019 Accepting new patients
Henry Ford Health St. John Hospital General Acute Care Hospital CurrentSince Jan 14, 2018 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince May 20, 2019 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
St. John Hospital General Acute Care Hospital Past Accepting new patients

Locations

22201 Moross Rd
Ste 480
Detroit, MI 48236
Phone (313) 343-3048

22101 Moross Rd
Ste 480
Detroit, MI 48236
Phone (313) 343-3048

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

19229 Mack Ave
Ste 23
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481

17900 23 Mile Rd
Ste 407
Macomb, MI 48044
Phone (586) 868-9008

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Interoperability endpoints

  • Direct secure messaging: achokechanachaisakul1121058@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1659517605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-3048",
            "fax_number": "313-343-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKECHANACHAISAKUL",
        "first_name": "ATTASIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301090360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.