Individual provider Active NPI

Shebene Chacko, M.D.

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1386914695
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T5279 Issued in TX
Practice address
3415 Columbus Dr
Frisco, TX 75034-6687
Phone
(167) 322-8735
NPI assigned
Jan 3, 2012
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T5279 TX Primary

Addresses

Primary practice location

3415 Columbus Dr
Frisco, TX 75034-6687

Mailing address

3415 Columbus Dr
Frisco, TX 75034-6687
Phone (516) 732-2873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140304001399 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8729218102 Reassigns benefits to 3 organizations
I20220809000317 TX Practitioner - Internal Medicine 8729218102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Intensivists PLLCGroup PAC ID 4688715691, 67 clinicians

Practice addresses (Care Compare)

6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jul 23, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Questcare Intensivists PLLC Internal Medicine Current Accepting new patients
Rochester General Hospital CurrentSince Oct 31, 2014 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jul 14, 2024 Accepting new patients
Newark Wayne Community Hospital CurrentSince Oct 31, 2014 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Oct 31, 2014 Accepting new patients
Questcare Pulmonary in-Patient Services PLLC Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients
Questcare Intensivists PLLC Internal Medicine CurrentSince Aug 2, 2023 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Columbia Medical Center of Denton Subsidiary LP Past Accepting new patients

Locations

32 E Main St
Bay Shore, NY 11706
Phone (631) 470-1450

300 Community Dr
Manhasset, NY 11030

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

972 Brush Hollow Rd
Westbury, NY 11590

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

11970 N Central Expy
Dallas, TX 75243
Phone (972) 566-7111

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Interoperability endpoints

  • Direct secure messaging: shebenechacko@mai.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1386914695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 COLUMBUS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346687",
            "telephone_number": "516-732-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 COLUMBUS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346687",
            "telephone_number": "167-322-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "SHEBENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T5279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.