Active NPI
Robert Chavko, MD
- Pulmonary Disease Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 107063
- Practice address
- 417 State St
Ste 400
Bangor, ME 04401-6630 - Phone
- (207) 942-6096
- Fax
- (207) 973-5587
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Joseph Hospital
Practice addresses (Care Compare)
360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1550
Hospital & facility affiliations
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Down East Community Hospital
- Houlton Regional Hospital
- Northern Light Maine Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060915000295 | ME | Practitioner - Pulmonary Disease | 9739184250 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107063 | ME | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients |
Locations
900 Broadway
Bldg 4
Bangor, ME 04401
Phone (207) 907-3276
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
600 Main St
Bldg 11
Bar Harbor, ME 04609
Phone (207) 288-1600
Interoperability endpoints
- rchavko1150090@direct.bsmhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 107063 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
417 State St
Ste 400
Bangor, ME 04401-6630
Mailing address
417 State St
Ste 400
Bangor, ME 04401-6630
Phone (207) 942-6096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2014.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1932147394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 STATE ST",
"address_2": "STE 400",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016630",
"telephone_number": "207-942-6096",
"fax_number": "207-973-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 STATE ST",
"address_2": "STE 400",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016630",
"telephone_number": "207-942-6096",
"fax_number": "207-973-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVKO",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ME",
"license": "107063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.