John T Chacko, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME74735 Issued in FL

Practice address

3051 6TH St
Marianna, FL 32446-1933

Phone

(850) 526-0005

Fax

(850) 718-4261

NPI assigned

Jul 24, 2006

Last updated

May 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

UrologyAlso: General Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchacko562522@direct.shands.ufl.edu

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

• Urology Associates of Ocala P.a.

  • Urology Physician
  • Ocala, FL
  • NPI 1295751469
  Medicare reassignment NPD Authorized official
• Essential Medical Services LLC

  • Clinic/Center
  • Chiefland, FL
  • NPI 1619471158
  Medicare reassignment NPD

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

• Villages Tri-County Medical Center Inc.

  dba UF Health Spanish Plaines Hospital

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1063434413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718170",
            "telephone_number": "850-526-0005",
            "fax_number": "850-718-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 6TH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461933",
            "telephone_number": "850-526-0005",
            "fax_number": "850-718-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME74735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "42842",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caremed Weight Loss LLC
• Carescripts LLC
• Susan Carlile, PTA
• Brittany S Carr
• Centerwell Health Services (Certified), Inc. (Centerwell Home Health)
• Laira Skipper Chambers, PHARMD
• Jirayos Chintanadilok, M.D.
• Chipola Home Health Care, Inc. (Vital Care of Marianna)
• Chipola Medical Associates, LLC
• Chipola Rehabilitative Services Inc

• Urology Physician in Marianna, FL
• Providers in Marianna, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.