Active NPI
Grace Blossom Chacko, NP
- Gastroenterology Physician
- Katy, TX
National Provider Identifier
1083550834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 1193364
- Practice address
- 23920 Katy Fwy Ste 510
Katy, TX 77494-0882 - Phone
- (832) 605-7123
- NPI assigned
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 1193364 | TX | Primary |
Addresses
Primary practice location
23920 Katy Fwy Ste 510
Katy, TX 77494-0882
Mailing address
10425 Huffmeister Rd Ste 280
Houston, TX 77065-3430
Phone (832) 605-7123
Other practice location 1
10425 Huffmeister Rd Ste 280
Houston, TX 77065-3430
Phone (832) 605-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1193364 | TX | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1083550834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10425 HUFFMEISTER RD STE 280",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653430",
"telephone_number": "832-605-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23920 KATY FWY STE 510",
"city": "KATY",
"state": "TX",
"postal_code": "774940882",
"telephone_number": "832-605-7123"
}
],
"practiceLocations": [
{
"address_1": "10425 Huffmeister Rd Ste 280",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770653430",
"country_code": "US",
"telephone_number": "832-605-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHACKO",
"first_name": "GRACE",
"middle_name": "BLOSSOM",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "1193364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.