Individual provider Active NPI

Deepa Chacko, APRN-CNP

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1063151900
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1061924 Issued in TX
Practice address
11914 Astoria Blvd Ste 590
Houston, TX 77089-6079
Phone
(713) 486-1170
Fax
(713) 500-0508
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 718742 TX
Acute Care Nurse Practitioner 363LA2100X 1061924 TX Primary

Addresses

Primary practice location

11914 Astoria Blvd Ste 590
Houston, TX 77089-6079

Mailing address

11914 Astoria Blvd Ste 510
Houston, TX 77089-6050
Phone (713) 486-1170

Other names 1

  • Deepa Devasy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621001025 TX Practitioner - Nurse Practitioner 0446639546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
718742TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 27, 2022 Accepting new patients
Ut Physicians CurrentSince Jun 27, 2022 Accepting new patients

Locations

11914 Astoria Blvd
Ste 590
Houston, TX 77089
Phone (281) 481-0033

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
#3286
Houston, TX 77030
Phone (713) 500-7780

11914 Astoria Blvd
Ste 510
Houston, TX 77089
Phone (713) 486-1170

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1063151900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896050",
            "telephone_number": "713-486-1170",
            "fax_number": "713-500-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896079",
            "telephone_number": "713-486-1170",
            "fax_number": "713-500-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "DEEPA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "718742",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1061924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPA",
            "last_name": "DEVASY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.