CHULACHAK JON SUKACHEVIN M.D.
NPI 1386644417
Family Medicine in Vancouver, WA
NPI Status: Active since July 29, 2005
Contact Information
7101 NE 137TH AVE
VANCOUVER, WA
ZIP 98682
Phone: (800) 813-2000
- Individual
- Male
- Years of Experience 30
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
About CHULACHAK SUKACHEVIN
This page provides the complete NPI Profile along with additional information for Chulachak Sukachevin, a primary care provider established in Vancouver, Washington with a medical specialization in Family Medicine and more than 30 years of experience. He graduated from Loma Linda University School Of Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1386644417 assigned on July 2005. The practitioner's primary taxonomy code is 207Q00000X with license number MD 60173771 (WA). The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1386644417
- Provider Name
- CHULACHAK JON SUKACHEVIN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7101 NE 137TH AVE VANCOUVER, WA 98682
- Location Phone
- (800) 813-2000
- Mailing Address
- 500 NE MULTNOMAH ST STE 100 PORTLAND, OR 97232
- Mailing Phone
- (800) 813-2000
- Mailing Fax
- Medical School Name
- LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1996
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-29-2005
- Last Update Date
- 05-21-2025
- Code Navigator
A primary care provider (PCP) like Chulachak Sukachevin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 60173771
- License State
- WA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | D0054571 (MD) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD15286 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Chulachak Sukachevin 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.
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.
PECOS PAC ID: 7214129311
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: I20101115000978
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.
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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. | |||||||||
| 1 | 3 | 8 | 6 | 6 | 4 | 4 | 4 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 12 | 4 | 8 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 2 + 4 + 8 + 4 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1386644417 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1720091267 | DR. TERRY RANDALL WILLIAMS MD Individual | Family Medicine | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4858 |
| 1124135355 | MR. RICHARD GROVE BATTSON PA-C Individual | Physician Assistant (Medical) | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 418-6001 |
| 1194833962 | JOHN A. LASATER MD Individual | Pediatrics | 7101 NE 137TH AVE VANCOUVER, WA 98682 (866) 420-2244 |
| 1235249053 | MR. MATTHEW E SURONEN L.D.O Individual | Technician/Technologist (Optician) | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4931 |
| 1306942396 | MRS. LAURA LYNN TOWERS ARNP Individual | Nurse Practitioner (Pediatrics) | 7101 NE 137TH AVE VANCOUVER, WA 98682 (866) 420-2244 |
| 1861575359 | JON ERIC CASEBEER MD Individual | Family Medicine | 7101 NE 137TH AVE VANCOUVER, WA 98682 (866) 420-2244 |
| 1801054234 | MRS. MARJORIE G AUSTEN PTA Individual | Technician, Other | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4995 |
| 1659520443 | MRS. KRISTIE ANN LACKEY PTA Individual | Physical Therapy Assistant | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4998 |
| 1326131806 | DR. CLARE MARGUERITE REIDY MD Individual | Family Medicine | 7101 NE 137TH AVE VANCOUVER, WA 98682 (800) 813-2000 |
| 1811292444 | MARK HARTFORD P.T. Individual | Physical Therapist | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 418-6000 |
| 1508107004 | MATTHEW THOMPSON LENNICK PHARM.D. Individual | Pharmacist | 7101 NE 137TH AVE VANCOUVER, WA 98682 (503) 250-1944 |
| 1578012738 | SHALLI DEYO PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 7101 NE 137TH AVE VANCOUVER, WA 98682 (800) 813-2000 |
| 1942751755 | ALISON M JOHNSTON RPH Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4985 |
| 1386195949 | DARREN FLYCKT PHARMD Individual | Pharmacist | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-2793 |
| 1285178574 | MRS. MARIA PRECIOSA MOSS PHARMD Individual | Pharmacist (Ambulatory Care) | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 334-2636 |
| 1811131261 | MRS. MARYANN WHIPPLE OGDEN M.D. Individual | Hospitalist | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 418-6000 |
| 1376866137 | CECILIA LEE RPH Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4990 |
| 1679079552 | MONTHA MICHELLE KIM Individual | Pharmacist | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4990 |
| 1073003505 | TIEN PASCU PHARMD Individual | Pharmacist | 7101 NE 137TH AVE VANCOUVER, WA 98682 (360) 944-4990 |
| 1154760460 | DR. MONA MIRCHANDANI D.O. Individual | Physical Medicine & Rehabilitation | 7101 NE 137TH AVE VANCOUVER, WA 98682 (503) 571-4229 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386644417, enumerated in the NPI registry as an "individual" on July 29, 2005
The provider is located at 7101 Ne 137th Ave Vancouver, Wa 98682 and the phone number is (800) 813-2000
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 30 years of experience. He graduated from Loma Linda University School Of Medicine in 1996.
The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 29, 2005. 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].
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