Leela Andumaly Chacko, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

12638 Issued in DC

Practice address

50 Irving St NW
VA Medical Center
Washington, DC 20422-0001

Phone

(202) 745-8311

Fax

(202) 518-4695

NPI assigned

Jul 19, 2006

Last updated

Oct 12, 2015By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Leela a Chacko MD LLC

  • Medical Specialty Clinic/Center
  • Takoma Park, MD
  • NPI 1790192656
  Authorized official Same address or phone
• Achankunju a Chacko MD LLC

  • Clinic/Center
  • Takoma Park, MD
  • NPI 1801189055
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1730108986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE 390",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126323",
            "telephone_number": "301-270-5522",
            "fax_number": "301-270-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW",
            "address_2": "VA MEDICAL CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204220001",
            "telephone_number": "202-745-8311",
            "fax_number": "202-518-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "LEELA",
        "middle_name": "ANDUMALY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DC",
            "license": "12638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur M Chacha
• Deseree Chacha
• Dylan Chacha
• Emmanuel Santa Chacha
• Donna Clare Chacko, MD
• Linda Anne Panicker Chacko, M.D.
• Sneha Chackochan
• Maria Angelica Chacon, MD
• Michael Chacon, PHARMD
• Hannah Chaddha, MA

• Physical Medicine & Rehabilitation Physician in Washington, DC
• Providers in Washington, DC by specialty
• Physical Medicine & Rehabilitation Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.