George N Chacko, M.D.

Primary specialty

Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X

License

17461 Issued in OK

Practice address

8224 Silver Xing
Oklahoma City, OK 73132-3375

Phone

(405) 722-4645

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

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.

• Oklahoma Pet Center LLC

  • Radiology Clinic/Center
  • Oklahoma City, OK
  • NPI 1477739662
  NPD (past) Authorized official
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1891837787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 LAMOND HILL AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346979",
            "telephone_number": "405-722-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 SILVER XING",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323375",
            "telephone_number": "405-722-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "GEORGE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OK",
            "license": "17461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100827610A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "360004269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CG Medical Solutions LLC
• CH MH Services (Ok), LLC
• Abby K Cha
• John Juneyoung Cha, MD
• Brian Alan Chace, DPT
• Julie M Chacko, NP
• Renu Chacko, APRN
• Susan Chacko
• Sheila Ann Chaddock
• Donald Ray Chadwell, MD

• Nuclear Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nuclear Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.