Individual provider Active NPI

Mary Theresa Chasko, M.D.

  • Anesthesiology Physician
  • Kensington, MD
National Provider Identifier
1902010408
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D73405 Issued in MD
Practice address
10810 Connecticut Ave
Kaiser Permanente Kensington Medical Center
Kensington, MD 20895-2138
Phone
(301) 929-7100
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD040259 DC
Anesthesiology Physician 207L00000X 0101250932 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD431249 PA
Anesthesiology Physician 207L00000X D73405 MD Primary
Anesthesiology Physician 207L00000X MD431249 PA

Addresses

Primary practice location

10810 Connecticut Ave
Kaiser Permanente Kensington Medical Center
Kensington, MD 20895-2138

Mailing address

2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424

Other identifiers 26

IdentifierTypeStateIssuer
002056193OtherPAHIGHMARK BLUE SHIELD
102165970 0001MedicaidPA
6802733OtherPAAETNA HMO (PMFC)
MD431249OtherPAMEDICAL LICENSE
25-1716306OtherPAMULTIPLAN/PHCS
9695183OtherPAAETNA NON-HMO
G920-0096/914765-04OtherPACAREFIRST (PMFC)
PEARLOtherPAHEALTH AMERICA
050514OtherPAMEDICARE GROUP PIN
1885935OtherPAAETNA HMO (AFC)
25-1716306OtherPAHEALTHNET/TRICARE
25-1716306OtherPASOUTH CENTRAL PREFERRED
25-1716306OtherPAFIRST HEALTH
1581407OtherPAGATEWAY (PMFC)
G920-0096/85XWCUOtherPACAREFIRST (AFC)
1569261OtherPAGATEWAY (AFC)
2183091OtherPAMAMSI
259792OtherPAUNISON (PMFC)
50078618OtherPACAPITAL BLUECROSS
120420418OtherPADEPT OF LABOR
245630OtherPAUNISON (AFC)
25-1716306OtherPAINFORMED
25-1716306OtherPAGREATWEST
25-1716306OtherPADEVON
25-1716306OtherPAINTERGROUP
P00618655OtherPARAILROAD MEDICARE

Other names 1

  • Mary Theresa Chasko Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120910000714 DC Practitioner - Anesthesiology 7214000678 Reassigns benefits to 5 organizations
I20150407000479 MD Practitioner - Anesthesiology 7214000678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the Mid Atlantic States, IncGroup PAC ID 3779495858, 1,921 clinicians

Practice addresses (Care Compare)

1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD040259DCMDAnesthesiology Physician
MD431249PAMDAnesthesiology Physician
0101250932VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 21, 2012 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 1, 2014 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Nov 1, 2014 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 21, 2012 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Feb 14, 2015 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Feb 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Oct 19, 2013 Accepting new patients

Locations

1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000

10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100

1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500

655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100

2101 E Jefferson St
Ste 6
Rockville, MD 20852

2101 E Jefferson St
#4E
Rockville, MD 20852

2101 E Jefferson St
Ste 4E
Rockville, MD 20852
Phone (301) 816-7405

2101 E Jefferson St
Rockville, MD 20852
Phone (301) 816-6660

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

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        }
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    "practiceLocations": [],
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        "sex": "F",
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        "certification_date": "2021-06-17",
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    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
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            "contentType": "OTHER",
            "contentTypeDescription": "Other",
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        {
            "first_name": "MARY",
            "last_name": "CHASKO",
            "middle_name": "THERESA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.