Active NPI
Alexander J Chalko, M.D.
- Psychiatry Physician
- Hermitage, TN
National Provider Identifier
1902899677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD27017
- Practice address
- 5653 Frist Blvd
Suite 331
Hermitage, TN 37076-2064 - Phone
- (615) 889-4447
- Fax
- (615) 889-5891
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD27017 | TN | Primary |
Addresses
Primary practice location
5653 Frist Blvd
Suite 331
Hermitage, TN 37076-2064
Mailing address
5653 Frist Blvd
Suite 331
Hermitage, TN 37076-2064
Phone (615) 889-4447
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073031 | Other | TN | VALUE OPTIONS |
| 093091000 | Other | TN | MAGELLAN |
| 175808 | Other | TN | COMPSYCH |
| 4274926 | Other | TN | AETNA |
| 49077 | Other | TN | CIGNA |
| 3093164 | Medicaid | TN | |
| 3158697 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27017 | TN | MD | Psychiatry Physician |
| 27017 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1902899677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5653 FRIST BLVD",
"address_2": "SUITE 331",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762064",
"telephone_number": "615-889-4447",
"fax_number": "615-889-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5653 FRIST BLVD",
"address_2": "SUITE 331",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762064",
"telephone_number": "615-889-4447",
"fax_number": "615-889-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALKO",
"first_name": "ALEXANDER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD27017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "073031",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "093091000",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "175808",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4274926",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "49077",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3093164",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3158697",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.