SUTTIRAK CHAIWONGKARJOHN
NPI 1083879084
Specialist in Lancaster, CA

NPI Status: Active since July 20, 2008

Contact Information

45104 10TH ST W
LANCASTER, CA
ZIP 93534
Phone: (661) 942-2391

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  • Individual
  • Male
  • Years of Experience 20
  • Specialist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SUTTIRAK CHAIWONGKARJOHN

This page provides the complete NPI Profile along with additional information for Suttirak Chaiwongkarjohn, a provider established in Lancaster, California with a medical specialization in Specialist and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1083879084 assigned on July 2008. The practitioner's primary taxonomy code is 174400000X with license number A115809 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1083879084
Provider Name
SUTTIRAK CHAIWONGKARJOHN
Gender
Male
Entity Type
Individual
Location Address
45104 10TH ST W LANCASTER, CA 93534
Location Phone
(661) 942-2391
Mailing Address
45104 10TH ST W LANCASTER, CA 93534
Mailing Phone
(661) 942-2391
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
07-20-2008
Last Update Date
12-31-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A115809
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

A115809 (CA)

Medicare Participation & PECOS Enrollment Status

Suttirak Chaiwongkarjohn is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Suttirak Chaiwongkarjohn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890914873

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160624001938

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    7 DME suppliers used 41 Medicare Claims 108 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    6 DME suppliers used 14 Medicare Claims 16 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 19 Medicare Claims 29 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    2 DME suppliers used 37 Medicare Claims 37 Services Paid

  • DME-Other DME (DE000N)

    Iv pole (HCPCS:E0776)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 20 Medicare Claims 29 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    4 DME suppliers used 13 Medicare Claims 13 Services Paid

Unknown

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

    2 DME suppliers used 14 Medicare Claims 420 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4150)

    2 DME suppliers used 14 Medicare Claims 6234 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    5 DME suppliers used 15 Medicare Claims 2321 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 1,155 times for 197 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 224 times for 201 patients

Reviews for SUTTIRAK CHAIWONGKARJOHN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083879084
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016316718016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 6 + 7 + 1 + 8 + 0 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1083879084 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336103456 QUAN THUC LUONG D.O.
Individual
Pediatrics45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1730499872ANTELOPE VALLEY COMMUNITY CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1649476672 GABRIEL SAN AGUSTIN GUEVARA D.D.S., D.M.D.
Individual
Dentist (General Practice)45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1235477209 NILA JEAN USSERY RN
Individual
Registered Nurse (Case Management)45104 10TH ST W
LANCASTER, CA 93534
(661) 942-4719
1710199674ANTELOPE VALLEY COMMUNITY CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1619290624ANTELOPE VALLEY COMMUNITY CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1982026639 CYNTHIA FRYE
Individual
Dental Hygienist45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1447667746 MICHELLE MANCILLA
Individual
Dental Hygienist45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1063800928ANTELOPE VALLEY PARTNERS FOR HEALTH
Organization
Case Management45104 10TH ST W
LANCASTER, CA 93534
(661) 942-4719
1245690387ANTELOPE VALLEY COMMUNITY CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1295199263 JACOB CARPENTER FNP-C
Individual
Nurse Practitioner (Family)45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1982642179 ROBERT ALAN RICHARDSON M.D.
Individual
Emergency Medicine45104 10TH ST W ANTELOPE VALLEY COMMUNITY CLINIC
LANCASTER, CA 93534
(661) 942-2391
1255589420DR. KYRIACOS CHARALAMBIDES M.D.
Individual
Internal Medicine (Geriatric Medicine)45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1689135816JWCH INSTITUTE, INC.
Organization
Clinic/Center45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1174084313JWCH INSTITUTE, INC.
Organization
Clinic/Center45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1053773754 TESSINY IRIARTE HOLLIDAY FNP-C
Individual
Family Medicine45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1578236675 KENIA HERNANDEZ
Individual
Counselor45104 10TH ST W
LANCASTER, CA 93534
(661) 948-1228
1013680115 PAOLA AZUCENA BAUTISTA CPHW
Individual
Counselor45104 10TH ST W
LANCASTER, CA 93534
(661) 948-1228
1043506728DR. QIYUAN DAI MD
Individual
Internal Medicine45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391
1902896921 MARY HAYNES F.N.P.
Individual
Nurse Practitioner (Family)45104 10TH ST W
LANCASTER, CA 93534
(661) 942-2391

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083879084, enumerated in the NPI registry as an "individual" on July 20, 2008

The provider is located at 45104 10th St W Lancaster, Ca 93534 and the phone number is (661) 942-2391

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 20 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes and Initial hospital inpatient care per day, typically 50 minutes.

This NPI record was last updated on July 20, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.