Individual provider Active NPI

Eric H. Chanko, M.D.

  • Hospitalist Physician
  • Danbury, CT
National Provider Identifier
1376638189
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
037914 Issued in CT
Practice address
24 Hospital Ave
Danbury, CT 06810
Phone
(203) 739-6959
Fax
(203) 749-9031
NPI assigned
Oct 4, 2006
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 037914 CT
Hospitalist Physician 208M00000X 037914 CT Primary

Addresses

Primary practice location

24 Hospital Ave
Danbury, CT 06810

Mailing address

28 Canterbury Rd
Sandy Hook, CT 06482-1583
Phone (203) 364-1119

Other practice location 1

28 Canterbury Rd
Sandy Hook, CT 06482-1583
Phone (203) 364-1119

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20041105000403 CT Practitioner - Internal Medicine 0648233122 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037914CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2021 Accepting new patients
Hartford Hospital Internal Medicine Current Accepting new patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jun 1, 2021 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jun 1, 2021 Accepting new patients
Hartford Hospital CurrentSince Sep 1, 2021 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

41 Germantown Rd
Danbury, CT 06810
Phone (203) 744-1680

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

21 Elm St
New Milford, CT 06776
Phone (860) 210-5000

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

Interoperability endpoints

  • Direct secure messaging: echanko@xdr.hhchealthdirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1376638189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CANTERBURY RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821583",
            "telephone_number": "203-364-1119",
            "fax_number": "203-364-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-739-6959",
            "fax_number": "203-749-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Canterbury Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "CT",
            "postal_code": "064821583",
            "country_code": "US",
            "telephone_number": "203-364-1119",
            "fax_number": "203-364-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANKO",
        "first_name": "ERIC",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "037914",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "037914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.