Individual provider Active NPI

Paul Chacko, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Toledo, OH
National Provider Identifier
1932253200
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35.088722 Issued in OH
Practice address
4235 Secor Rd
Toledo, OH 43623-4231
Phone
(419) 479-5690
Fax
(419) 479-5700
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.088722 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 35.088722 OH Primary
Cardiovascular Disease Physician 207RC0000X 4301113018 MI
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301113018 MI

Addresses

Primary practice location

4235 Secor Rd
Toledo, OH 43623-4231

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other practice location 1

3000 Arlington Ave Fl 1
Toledo, OH 43614-2595
Phone (419) 383-3963

Other identifiers 1

IdentifierTypeStateIssuer
2715333MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, ND2 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
I20070131000300 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 1759382930 Reassigns benefits to 1 organization
I20191212002024 ND Practitioner - Cardiac Electrophysiology 1759382930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

Hospital & facility affiliations

  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Cardiovascular Disease CurrentSince Sep 15, 2020 Accepting new patients
St. Alexius Medical Center CurrentSince Nov 4, 2019 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
St Alexius Medical Center CurrentSince Nov 4, 2019 Accepting new patients
Hospitalist Services Medical Group of Marysville Inc Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

L4189
Columbus, OH 43260

5757 Monclova Rd
Ste 1
Maumee, OH 43537
Phone (419) 931-0030

3000 Arlington Ave
Fl 1
Toledo, OH 43614
Phone (419) 383-3963

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

Interoperability endpoints

  • Direct secure messaging: pchacko19554@direct.utoledo.edu

Organizations & group practices 5

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1932253200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5690",
            "fax_number": "419-479-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3963",
            "fax_number": "419-393-6167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.088722",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35.088722",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301113018",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301113018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2715333",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.