Job K Chacko, MD

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

40477 Issued in CO

Practice address

1601 E. 19TH Avenue
Suite 6400
Denver, CO 80218-1216

Phone

(303) 839-7200

Fax

(303) 839-7229

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rockymountainlithotripterllc.chackojob@133913.advancedmd-direct.com
• Direct secure messaging: jchacko3686@direct.childrenscolorado.org

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

• Rocky Mountain Lithotripter LLC

  • Urology Physician
  • Englewood, CO
  • NPI 1134202435
  Medicare reassignment NPD
• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Rocky Mountain Pediatric Urology, PC

  • Pediatric Urology Physician
  • Denver, CO
  • NPI 1487851275
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1710024088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E. 19TH AVENUE",
            "address_2": "SUITE 6400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-839-7200",
            "fax_number": "303-839-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E. 19TH AVENUE",
            "address_2": "SUITE 6400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-839-7200",
            "fax_number": "303-839-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "JOB",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CO",
            "license": "40477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaci Cessna
• Edward W Cetaruk, MD
• Anna E Cetre
• Danielle Cevis
• Emily Chac, PA-C
• Lyssa N Chacko, MD
• Christian Virgil Chacon
• Caroline M Chadima, BS, CAC III
• Chadley Zobolas Therapy PLLC
• Herbert N Chado, MD

• Pediatric Urology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.