Individual provider Active NPI

Walailuk Chaiyarat, MD

  • Hematology & Oncology Physician
  • Concord, CA
National Provider Identifier
1811140478
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A117301 Issued in CA
Practice address
2571 Park Ave
Concord, CA 94520-1901
Phone
(925) 674-2100
NPI assigned
Oct 28, 2008
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A117301 CA Primary

Addresses

Primary practice location

2571 Park Ave
Concord, CA 94520-1901

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888

Other practice location 1

3000 Oak Rd # 311
Walnut Creek, CA 94597-2092
Phone (925) 674-2100

Other practice location 2

100 Hospital Dr Ste 110B
Vallejo, CA 94589-2577
Phone (707) 551-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110907001490 CA Practitioner - Hematology/OncologyPractitioner - Hematology 8426228115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

2571 Park Ave
Concord, CA 94520-1901
Phone (925) 674-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117301CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Physician Network CurrentSince Jun 14, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince May 13, 2019 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2571 Park Ave
Concord, CA 94520
Phone (925) 674-2100

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

100 Hospital Dr
Ste 110B
Vallejo, CA 94589
Phone (707) 551-3300

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

177 La Casa Via
Ste 300
Walnut Creek, CA 94598
Phone (925) 692-5647

177 La Casa Via
Ste 390
Walnut Creek, CA 94598
Phone (925) 692-5610

Interoperability endpoints

  • Direct secure messaging: wchaiyarat217891@hisp.ehr.sutterhealth.org
  • Direct secure messaging: wchaiyarat50343@ehr.johnmuirhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1811140478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 PARK AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201901",
            "telephone_number": "925-674-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Oak Rd # 311",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972092",
            "country_code": "US",
            "telephone_number": "925-674-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892577",
            "country_code": "US",
            "telephone_number": "707-551-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIYARAT",
        "first_name": "WALAILUK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A117301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.