Organization Active NPI

Aceso Healthcare Partners LLC

  • Primary Care Clinic/Center
  • Rockville, MD
National Provider Identifier
1346618337
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0054508 Issued in MD
Legal business name
ACESO HEALTHCARE PARTNERS LLC
Practice address
15005 Shady Grove Rd
Suite 240
Rockville, MD 20850-6340
Phone
(301) 785-2674
NPI assigned
Sep 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Dr. John C Chuke, MDNPI 1558408021
Title
Managing Partner
Phone
(301) 785-2674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0054508 MD Primary

Addresses

Primary practice location

15005 Shady Grove Rd
Suite 240
Rockville, MD 20850-6340

Mailing address

15005 Shady Grove Rd
Suite 240
Rockville, MD 20850-6340
Phone (301) 785-2674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170127000908 DC Part B Supplier - Clinic/Group Practice 9335421338 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

15005 Shady Grove Rd
Ste 240
Rockville, MD 20850
Phone (301) 217-0979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1346618337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUITE 240",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-785-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUITE 240",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-785-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACESO HEALTHCARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "CHUKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-785-2674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0054508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.