Mary Anne Sapna Chacko, M.D., PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

Q7337 Issued in TX

Practice address

1752 Broad Park Cir N Ste 114
Mansfield, TX 76063-7824

Phone

(855) 893-5637

Fax

(817) 666-3873

NPI assigned

Aug 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Anne Sapna Mani Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care of Excellence Home Health Home health agency, Mansfield, TX, CCN 679654
• Vna Hospice, Dallas, TX, CCN 451506
• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
• Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryanne.chacko.1@27041.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4

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.

• Access Wellness Resources

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1568116291

  Internal Medicine

  Medicare reassignment Care Compare group NPD

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

• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• Care of Excellence Home Health, LLC

  • Home Health Agency
  • Mansfield, TX
  • NPI 1487719001
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation
• Texas Health Arlington Memorial Hospital

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1174533343
  Care Compare affiliation
• The Visiting Nurse Association of Texas

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1750566774
  Care Compare affiliation

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1932456605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "817-886-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 BROAD PARK CIR N STE 114",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637824",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Eureka St Ste B",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760866521",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4004 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017854",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402343",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Western Center Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761314302",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6029 Belt Line Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547873",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Airport Fwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760216607",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Lancaster Dr",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513544",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "MARY ANNE",
        "middle_name": "SAPNA",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-12",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q7337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ANNE",
            "last_name": "MANI",
            "middle_name": "SAPNA",
            "prefix": "DR.",
            "credential": "M.D., PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Internal Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.

Verify at the official NPI Registry.