Sneha Chacko, M.D.
Individual provider Active NPI Family Medicine Physician · New York, NY
NPI 1811209224 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1811209224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 276255 (NY)
- Practice address
- 550 1St Ave
New York, NY 10016-6402 - Phone
- (212) 263-5800
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Services of KS PA
New York University
Emergency Medicine Services of Mo LLC
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (931) 541-5000
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
2100 SE Blue Pkwy
Lee'S Summit Medical Center
Lee'S Summit, MO 64063-1007
Phone (816) 282-5000
Hospital & facility affiliations
- Lee'S Summit Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141105001218 | NY | Practitioner - Family Practice |
2668694795 | Reassigns benefits to 1 organization |
| I20181115000383 | MO | Practitioner - Emergency Medicine |
2668694795 | Reassigns benefits to 1 organization |
| I20200228001649 | KS | Practitioner - Emergency Medicine |
2668694795 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of KS, PA | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Miami County Medical Center Inc | Current |
Accepting new patients | |
| Emergency Medicine Services of Mo, LLC | Current |
Accepting new patients | |
| Miami County Medical Center Inc. | Current |
Accepting new patients | |
| Sound Physicians Emergency Medicine of Kansas, LLC | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Emergency Services of Kansas, P.a. | Family Medicine | Current |
Accepting new patients |
Locations
401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200
2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
1700 SW 7th St
#O
Topeka, KS 66606
Phone (785) 295-8000
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- schacko125120@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Family Medicine Physician | 207Q00000X | 276255 | NY | Yes |
Addresses
Primary practice location
550 1St Ave
New York, NY 10016-6402
Mailing address
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (620) 223-7070
Other practice location 1
1650 Selwyn Ave
Suite 8C
Bronx, NY 10457-7626
Phone (718) 590-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | NY | BLHC FAMILY MEDICINE RESIDENCY PROGRAM |
Other providers in New York, NY
- Marilyn Chacko
- Merlin Chacko
- Sanchu Chacko
- Sarah Chacko
- Sharon Chacko
- Vimala Chacko
- Jorge Chacon Cordero
- Ana Cristina Chacon
- Irene Chacon
- Simone Chad-Friedman
All providers in New York, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.