Chowallur Dev Chacko, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0034022 Issued in FL

Practice address

2718 N Orange Ave
Suite C
Orlando, FL 32804-7611

Phone

(407) 894-2664

Fax

(407) 894-2450

NPI assigned

Jul 28, 2005

Reactivated

Mar 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265432686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 N ORANGE AVE",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047611",
            "telephone_number": "407-894-2664",
            "fax_number": "407-894-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 N ORANGE AVE",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047611",
            "telephone_number": "407-894-2664",
            "fax_number": "407-894-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "CHOWALLUR",
        "middle_name": "DEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0034022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME0034022",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Cha
• Jamal A Chaaban
• Ramzi Chaaban
• Lourdie Chachoute, ARNP
• Bijo Chacko, RPH
• Aaliyah J Chacon
• Michelle Chacon, MA, CCC-SLP
• Chad K. Spencer MSW, LCSW, PA
• Nugma Chadha, MD
• Eileen E Chadwick, OTR-L

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.