Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vasutakarn Chongthammakun, MDPHD

Individual provider Cardiovascular Disease Physician · NPI 1932464732

Dr. Vasutakarn Chongthammakun, MDPHD is an Adult Congenital Heart Disease (Achd) in Roanoke, Virginia. Qualified in 2010, 16 years ago. Practices with Centra Medical Group LLC, a 717-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465
Phone: (540) 982-8204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1120 Nw 14th St, Miami, FL 33136-2107 — (305) 243-7067
  • 2410 Atherholt Rd, Lynchburg, VA 24501-2148 — (434) 200-5252
  • 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 — (414) 337-7556

Specialties & licences

Adult Congenital Heart Disease Physician (primary) Taxonomy 207RA0002X · Licence 0101268061 (VA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101268061 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932464732
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedJuly 8, 2012
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyADULT CONGENITAL HEART DISEASE (ACHD)
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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