Samuel Chachkin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MT179623 Issued in PA

Practice address

2301 Huntingdon Pike
Suite 202
Huntingdon Valley, PA 19006-6130

Phone

(215) 947-7500

NPI assigned

Dec 11, 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

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Dermatology

Education

George Washington University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Dermatology Group PCGroup PAC ID 9830170877, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Quality

92.77

Promoting interoperability

100

Improvement activities

40

Cost

73.24

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Pennsylvania Dermatology Group, P.C.

  • Dermatology Physician
  • Huntingdon Valley, PA
  • NPI 1942357454
  Medicare reassignment Care Compare group NPD Authorized official

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

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1851451835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HUNTINGDON PIKE",
            "address_2": "SUITE 202",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066130",
            "telephone_number": "215-947-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HUNTINGDON PIKE",
            "address_2": "SUITE 202",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066130",
            "telephone_number": "215-947-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACHKIN",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT179623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carvell Homecare Inc
• Crystina Kaylin Cave, PA-C
• Center for Advanced Vein Therapy, P.C
• Center for Advanced Vein Treatment, LLC
• Fallon Cesarini, PT, DPT
• George Yusef Chalhoub, MD
• Ani Nicole Chamesian, CF-SLP
• Linda Chandy, AGNP
• Litty Kuriakose Chandy
• Kenneth Chatzinoff, MS

• Dermatology Physician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.