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Dr. Tepsiri Chongkrairatanakul, MD

Accepting New Patients

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Specializes in: Adult Nephrology

Faculty of Medicine Siriraj Hospital, Mahidol University

Professional interests include: chronic kidney disease (CKD), kidney transplant, hypertension (high blood pressure), and more.

7901 Frost Street
San Diego, CA 92123

(858) 939-3400

Dr. Tepsiri Chongkrairatanakul, MD is a nephrologist in San Diego, CA specializing in adult nephrology. He graduated from Faculty of Medicine Siriraj Hospital, Mahidol University. Dr. Tepsiri Chongkrairatanakul, MD is affiliated with Sharp Memorial Hospital, Sharp HealthCare, EMERGENCY AND ACUTE CARE MEDICAL CORPORATION and BALBOA NEPHROLOGY MEDICAL GROUP INC.

Office Locations

Address:

8010 Frost Street Suite 100
San Diego, CA 92123

Address:

7901 Frost Street
San Diego, CA 92123

Some issues Dr. Tepsiri Chongkrairatanakul, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

blood draw	204
diabetes management	52
dialysis	190
doctor visit	317
hospital care	649
inpatient care	649
lab tests	1122
preventive care	184
thyroid function tests	67
vaccines	26

**Gender**
Male	200
Female	190

**Ethnicity**
Non-Hispanic White	0
Black	251
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	132
From 75 to 84	107
85 and over	38
Less than 65	113

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	56
Depression	18
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	4
Atrial Fibrilation	9
Heart Failure	51
Chronic Obstructive Pulmonary Disease	32
Diabetes	66
Dementia	21
Cancer	10

blood draw	461
diabetes management	135
dialysis	321
doctor visit	844
hospital care	1443
inpatient care	1443
lab tests	2603
musculoskeletal imaging	10
preventive care	319
thyroid function tests	235
vaccines	43
X-rays	10

**Gender**
Male	275
Female	290

**Ethnicity**
Non-Hispanic White	0
Black	359
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	190
From 75 to 84	153
85 and over	69
Less than 65	153

Hypertension	75
High Cholesterol	69
Stroke	9
Ischemic Heart Disease	50
Depression	21
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	6
Atrial Fibrilation	9
Heart Failure	54
Chronic Obstructive Pulmonary Disease	29
Diabetes	72
Dementia	24
Cancer	12

**Gender**
Male	642
Female	616

**Ethnicity**
Non-Hispanic White	390
Black	840
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	384
From 75 to 84	344
85 and over	166
Less than 65	364

Hypertension	75
High Cholesterol	73
Stroke	14
Ischemic Heart Disease	54
Depression	23
Chronic Kidney Disease	75
Asthma	21
Osteoperosis	5
Atrial Fibrilation	13
Heart Failure	57
Chronic Obstructive Pulmonary Disease	28
Diabetes	74
Dementia	23
Cancer	13

blood draw	137
diabetes management	41
dialysis	116
doctor visit	377
hospital care	530
inpatient care	530
lab tests	747
preventive care	74
thyroid function tests	9

**Gender**
Male	262
Female	240

**Ethnicity**
Non-Hispanic White	165
Black	315
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	154
From 75 to 84	127
85 and over	54
Less than 65	167

Hypertension	75
High Cholesterol	74
Stroke	7
Ischemic Heart Disease	55
Depression	25
Chronic Kidney Disease	75
Asthma	27
Osteoperosis	6
Atrial Fibrilation	12
Heart Failure	54
Chronic Obstructive Pulmonary Disease	24
Diabetes	72
Dementia	25
Cancer	11

dialysis	183
doctor visit	165
hospital care	420
inpatient care	420

**Gender**
Male	148
Female	141

**Ethnicity**
Non-Hispanic White	133
Black	114
Hispanic	19
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	68
From 75 to 84	0
85 and over	0
Less than 65	190

Hypertension	75
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	53
Depression	37
Chronic Kidney Disease	75
Asthma	16
Osteoperosis	13
Atrial Fibrilation	18
Heart Failure	48
Chronic Obstructive Pulmonary Disease	19
Diabetes	62
Dementia	16
Cancer	4

doctor visit	111
hospital care	417
inpatient care	417

**Gender**
Male	103
Female	83

**Ethnicity**
Non-Hispanic White	95
Black	52
Hispanic	18
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	0
85 and over	0
Less than 65	106

Hypertension	75
High Cholesterol	68
Stroke	10
Ischemic Heart Disease	52
Depression	30
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	20
Atrial Fibrilation	15
Heart Failure	40
Chronic Obstructive Pulmonary Disease	13
Diabetes	62
Dementia	16
Cancer	0

dialysis	146
doctor visit	509
hemofiltration	27
hospital care	976
inpatient care	976

**Gender**
Male	262
Female	172

**Ethnicity**
Non-Hispanic White	136
Black	53
Hispanic	140
Asian	80
Other	0
Native American	0

**Age**
From 65 to 74	142
From 75 to 84	77
85 and over	42
Less than 65	173

Hypertension	75
High Cholesterol	65
Stroke	6
Ischemic Heart Disease	56
Depression	27
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	7
Atrial Fibrilation	15
Heart Failure	57
Chronic Obstructive Pulmonary Disease	17
Diabetes	69
Dementia	15
Cancer	8

dialysis	186
doctor visit	1210
hemofiltration	79
hospital care	1338
inpatient care	1338

**Gender**
Male	313
Female	193

**Ethnicity**
Non-Hispanic White	164
Black	52
Hispanic	169
Asian	92
Other	0
Native American	0

**Age**
From 65 to 74	168
From 75 to 84	96
85 and over	39
Less than 65	203

Hypertension	75
High Cholesterol	63
Stroke	11
Ischemic Heart Disease	53
Depression	24
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	52
Chronic Obstructive Pulmonary Disease	15
Diabetes	69
Dementia	18
Cancer	7

dialysis	227
doctor visit	1821
hemofiltration	120
hospital care	2267
inpatient care	2267

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Tepsiri Chongkrairatanakul, MD for Medicare patients.

The highest averages for the top procedures that Dr. Tepsiri Chongkrairatanakul, MD treated as a nephrologist in San Diego, CA were lab tests, inpatient care, hospital care and blood draw.

abdominal imaging	58
blood draw	292
catheterization	17
diabetes management	98
dialysis	209
doctor visit	690
hemofiltration	75
hospital care	1026
inpatient care	1026
lab tests	1727
musculoskeletal imaging	10
preventive care	221
thyroid function tests	103
ultrasound (sonogram)	58
vaccines	30
X-rays	10

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Tepsiri Chongkrairatanakul, MD.

**Gender**
Male	220
Female	192

**Ethnicity**
Black / African American	203
Asian / Pacific Islander	17
Non-Hispanic White	108
Native American / Alaskan Native	0
Hispanic	34
Other	0

**Age**
85 and over	40
75 to 84	90
Less than 65	146
65 to 74	129

Average of Total of Conditions of Medicare patients treated by Dr. Tepsiri Chongkrairatanakul, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Tepsiri Chongkrairatanakul, MD treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	60
High Cholesterol	55
Stroke	7
Ischemic Heart Disease	42
Depression	20
Chronic Kidney Disease	60
Asthma	11
Osteoporosis	7
Heart Failure	41
Chronic Obstructive Pulmonary Disease	17
Diabetes	54
Atrial Fibrillation	10
Dementia	15
Cancer	6

Education & Training

Dr. Tepsiri Chongkrairatanakul, MD graduated from Faculty of Medicine Siriraj Hospital, Mahidol University. He completed residency at Bassett Medical Center. He is certified by the Nephrology Nephrology and has a state license in California.

Medical School: Faculty of Medicine Siriraj Hospital, Mahidol University

Residency: Bassett Medical Center

Board Certification: Nephrology Nephrology

Licensed In: California

Affiliations & Hospitals

Dr. Tepsiri Chongkrairatanakul, MD is associated with these hospitals and organizations:

Sharp Memorial Hospital

Sharp HealthCare

EMERGENCY AND ACUTE CARE MEDICAL CORPORATION

BALBOA NEPHROLOGY MEDICAL GROUP INC

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General Payments

These charts describe general payments received by Dr. Tepsiri Chongkrairatanakul, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Otsuka America Pharmaceutical, Inc.	$274 SAMSCA $250	JYNARQUE $25
Veloxis Pharmaceuticals, Inc.	$208 Envarsus $208
Novo Nordisk Inc	$203 Victoza $59	Tresiba $24	Saxenda $14	$106
Alexion Pharmaceuticals, Inc.	$164 SOLIRIS $164
Mallinckrodt LLC	$156 ACTHAR $156
Other	$1,050 NXSTAGE SYSTEM ONE $126	Repatha $112	ORBACTIV $108	ACTHAR $105	TOUJEO $85	Other $513

**Types of Payments**
Food and Beverage	$1,974
Education	$82

Biography

Dr. Tepsiri Chongkrairatanakul is an adult nephrology specialist in San Diego, CA. Areas of expertise for Dr. Chongkrairatanakul include hypertension (high blood pressure), pancreas transplant, and glomerular diseases. He graduated from Faculty of Medicine Siriraj Hospital, Mahidol University. He speaks Thai. He is affiliated with Sharp Memorial Hospital. He welcomes new patients at his office inSan Diego, CA as reported by Doctor.com.