Organization Active NPI

Eastern Virginia Surgical Associates, Inc.

  • Colon & Rectal Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1376635276
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
EASTERN VIRGINIA SURGICAL ASSOCIATES, INC.
Practice address
3212 Churchland Boulevard
Suite 8
Chesapeake, VA 23321-5206
Phone
(757) 399-0886
Fax
(757) 399-1191
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
John Kabzeel Yesudas Chacko, M.D.NPI 1972695872
Title
President Owner
Phone
(757) 399-0886

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X VA
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

3212 Churchland Boulevard
Suite 8
Chesapeake, VA 23321-5206

Mailing address

3212 Churchland Boulevard
Suite 8
Chesapeake, VA 23321-5206
Phone (757) 399-0886

National Provider Directory

National Provider Directory

Locations

3212 Churchland Blvd
Ste 8
Chesapeake, VA 23321
Phone (757) 399-0886

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376635276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 CHURCHLAND BOULEVARD",
            "address_2": "SUITE 8",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215206",
            "telephone_number": "757-399-0886",
            "fax_number": "757-399-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 CHURCHLAND BOULEVARD",
            "address_2": "SUITE 8",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215206",
            "telephone_number": "757-399-0886",
            "fax_number": "757-399-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN VIRGINIA SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KABZEEL YESUDAS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "757-399-0886",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.