Active NPI
Mary S Chacho, M.D.
- Cytopathology Physician
- Danbury, CT
National Provider Identifier
1699717090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 027421
- Practice address
- 24 Hospital Ave
Danbury, CT 06810-6099 - Phone
- (203) 739-7453
- NPI assigned
- Jun 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 027421 | CT | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 027421 | CT |
Addresses
Primary practice location
24 Hospital Ave
Danbury, CT 06810-6099
Mailing address
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7453
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148535 | Other | CT | OXFORD |
| 148535 | Other | CT | UNITED HEALTHCARE |
| 58R691 | Other | NY | EMPIRE BCBS |
| 810730064 | Other | CT | PHCS |
| 010027421CT03 | Other | CT | ANTHEM BCBS |
| 042065 | Other | CT | HEALTH NET |
| 397884 | Other | CT | CIGNA |
| 001274216 | Medicaid | CT | |
| 1125923 | Other | CT | AETNA US HEALTHCARE |
| P00293964 | Other | CT | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 027421 | CT | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1699717090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106099",
"telephone_number": "203-739-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106099",
"telephone_number": "203-739-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACHO",
"first_name": "MARY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CT",
"license": "027421",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "027421",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "148535",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "148535",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "58R691",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "810730064",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010027421CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "042065",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "397884",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001274216",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "1125923",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00293964",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.