THAVATCHAI CHAMNONGCHAREONWONG (DO) – Family Medicine Physician, NPI 1023038353

THAVATCHAI CHAMNONGCHAREONWONG (DO) is a healthcare provider. based in Montgomery, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. D0625 (AL). The NPI Number for THAVATCHAI CHAMNONGCHAREONWONG (DO) is 1023038353

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
THAVATCHAI CHAMNONGCHAREONWONG (DO)
NPI
1023038353
Phone
(334) 239-8939
Address
8300 CROSSLAND LOOP
Enumeration Date
20 July 2006
Last Update Date
23 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884100317
Graduation Year
1997 (29 years ago)
PAC ID
0648202101
Group Practice PAC ID
6305101908
Professional Enrollment ID
I20050920001220
Address ID
AL361063078MO4705XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,756 FAMILY PRACTICE in AL

Provider Addresses for THAVATCHAI CHAMNONGCHAREONWONG (DO)

  • 8300 CROSSLAND LOOP

    MONTGOMERY, AL 361178482

    Phone: (334) 239-8939

    Fax: (334) 239-8918

    Type: Location

  • Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States

    MONTGOMERY, AL 361242848

    Phone: (334) 270-9914

    Fax: (334) 270-3195

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 252 Open Payments records for all available years, with a total value of $4,660.

Total Amount is formed as General ($4,660) + Research ($0) + Ownership ($0) = $4,660.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($437).

Total Amount

$4,660

General + Research + Ownership

Payments

252

Total payment records

General Amount

$4,660

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050920001220IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0696Injection, ceftriaxone sodium, per 250 mg54458$0
99214Established patient office or other outpatient visit, 30-39 minutes296136$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count258143$0
96372Injection of drug or substance under skin or into muscle21680$0
99213Established patient office or other outpatient visit, 20-29 minutes18081$0
View full utilization report →

Insurance plans in this area (ZIP 36117)

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Provider's Procedures

THAVATCHAI CHAMNONGCHAREONWONG (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAL83036Hemoglobin A1C level6635

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305101908View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerCO

Reviews

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Frequently asked questions

What unique ID ties claims to THAVATCHAI CHAMNONGCHAREONWONG (DO)?
NPI 1023038353 is assigned to THAVATCHAI CHAMNONGCHAREONWONG (DO) under the national enumeration system.
Is THAVATCHAI CHAMNONGCHAREONWONG (DO) active in the national directory?
THAVATCHAI CHAMNONGCHAREONWONG (DO)'s public NPI profile is in an active state.
What field does THAVATCHAI CHAMNONGCHAREONWONG (DO) work in?
You can think of THAVATCHAI CHAMNONGCHAREONWONG (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place THAVATCHAI CHAMNONGCHAREONWONG (DO)?
The snapshot lists Montgomery, Alabama for THAVATCHAI CHAMNONGCHAREONWONG (DO); download NPPES for the complete set.
Is THAVATCHAI CHAMNONGCHAREONWONG (DO) a real provider?
This page reflects official NPPES data for NPI 1023038353. Always confirm identity and privileges with the practice and licensing boards.

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