Wikrom Chaiwatcharayut, M.D.
Internal Medicine in Ventura, CA. Individual provider (NPI-1).
NPI number1306259809
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1306259809
- Entity type
- Individual (NPI-1)
- Name
- Wikrom Chaiwatcharayut
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2014
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A144707 | CA | Yes |
| 207R00000X | Internal Medicine | 2021-02077 | NC |
Practice location
200 S Wells RdVentura, CA 93004-1377
Phone 805-647-6322 · Fax 805-647-7164
Mailing address
1843 Quiet CvFayetteville, NC 28304-3857
Phone 910-483-8080
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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