Ted A Chaka, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04129 Issued in TX

Practice address

2074 Antilley Rd
Abilene, TX 79606-5209

Phone

(325) 698-3865

Fax

(325) 793-1295

NPI assigned

Jul 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Abilene Advanced Pain InstituteGroup PAC ID 2264927300, 3 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score

78.51 of 100Reported as group

Quality

63.02

Promoting interoperability

100

Improvement activities

40

Cost

65.34

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ted.chaka.1@21794.direct.athenahealth.com

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.

• Abilene Advanced Pain Institute

  • Pain Medicine Physician
  • Abilene, TX
  • NPI 1396611182
  Medicare reassignment Care Compare group
• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322
  Medicare reassignment Care Compare group
• Privia Medical Group West Texas, PLLC

  • Specialist
  • Abilene, TX
  • NPI 1346242567
  NPD
• Privia Medical Group West Texas, PLLC

  • Pathology Specialist/Technologist
  • Abilene, TX
  • NPI 1760482665
  NPD (past)

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

• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1780613414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "253-698-3865",
            "fax_number": "325-793-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "325-698-3865",
            "fax_number": "325-793-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKA",
        "first_name": "TED",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX  STATE PA LICENSE",
            "identifier": "PA04129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Jo Cervantes
• Amala Chacko, MD
• Ashlee Chacon, LPC
• Chad D. Ezzell, M.D., PA
• Ron Chaffee, RPH
• Brandy Leigh Chalmers, LPC
• Jade Chandler
• Logan Chandler
• G Noel Chant, MD
• Judith F. Chant, RN, MSN, FNP-BC

• Physician Assistant in Abilene, TX
• Providers in Abilene, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.