Active NPI
Donna Clare Chacko, MD
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1467577692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD34313
- Practice address
- 1660 Columbia Road NW
Washington, DC 20009-3697 - Phone
- (202) 328-3717
- Fax
- (202) 588-8101
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD34313 | DC | Primary |
Addresses
Primary practice location
1660 Columbia Road NW
Washington, DC 20009-3697
Mailing address
1660 Columbia Road NW
Washington, DC 20009-3697
Phone (202) 328-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22524700 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD34313 | DC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1467577692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 COLUMBIA ROAD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093697",
"telephone_number": "202-328-3717",
"fax_number": "202-588-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 COLUMBIA ROAD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093697",
"telephone_number": "202-328-3717",
"fax_number": "202-588-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACKO",
"first_name": "DONNA",
"middle_name": "CLARE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD34313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22524700",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.