Thomas Chacko, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

59383 Issued in GA

Practice address

3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425

Phone

(267) 226-3181

Fax

(888) 823-1934

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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 GA

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

Allergy/Immunology

Education

Jefferson Medical College of Thomas Jefferson University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Chacko MD PCGroup PAC ID 5991040982, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.96 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73.2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.chacko.p137@direct.tenet.nextgenshare.com

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.

• Thomas Chacko M.D. P.C

  • Allergy Physician
  • Alpharetta, GA
  • NPI 1669986709
  Medicare reassignment Care Compare group NPD
• ENT of Georgia, LLC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1922046424
  Medicare reassignment NPD
• Thomas Chacko M.D. P.C

  • Allergy Physician
  • Alpharetta, GA
  • NPI 1487532719
  NPD
• Thomas a. Johnson, DDS

  • Oral and Maxillofacial Radiology Dentistry
  • Roswell, GA
  • NPI 1699945311
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1356443089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "267-226-3181",
            "fax_number": "888-823-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "267-226-3181",
            "fax_number": "888-823-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "59383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "59383",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christin Cawley, MA
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• Mario A Cerame, M.D.
• Kiara Gabriela Cervantes
• Jacob M Chaffee, CRNA
• Julia Olivia Chaisit, PHARMD
• Sukai S Cham
• Courtney Cohen Chambless, PT, DPT
• Champion Chiropractic, LLC

• Allergy Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Allergy Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.