Individual provider Active NPI

Robert Chavko, MD

  • Pulmonary Disease Physician
  • Bangor, ME
National Provider Identifier
1932147394
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
107063 Issued in ME
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.

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 197 clinicians

Practice addresses (Care Compare)

360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1550

Hospital & facility affiliations

  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Down East Community Hospital Hospital, Machias, ME, CCN 201311
  • Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
107063MEMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital CurrentSince Nov 1, 2017 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

  • Direct secure messaging: rchavko1150090@direct.bsmhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 107063 ME Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.