Individual provider Active NPI

Bijo Chacko, M.D.

  • Internal Medicine Physician
  • New Windsor, NY
National Provider Identifier
1972679447
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230770 Issued in NY
Practice address
484 Temple Hill Rd
Suite 102
New Windsor, NY 12553-5557
Phone
(845) 565-3700
Fax
(844) 556-5369
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 230770 NY
Internal Medicine Physician 207R00000X 230770 NY Primary

Addresses

Primary practice location

484 Temple Hill Rd
Suite 102
New Windsor, NY 12553-5557

Mailing address

484 Temple Hill Rd
Suite 102
New Windsor, NY 12553-5557
Phone (845) 565-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20040708000079 NY Practitioner - Internal MedicinePractitioner - Hospitalist 9931187994 Reassigns benefits to 3 organizations
I20250922001678 FL Practitioner - Internal Medicine 9931187994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians
New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians
Eastside Hospitalists IncGroup PAC ID 9436157831, 179 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5983

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Hospitalists Inc Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jul 8, 2025 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 7, 2024 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Jun 7, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 8, 2025 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

19 Laurel Ave
Cornwall, NY 12518
Phone (845) 343-6368

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

101 Hospital Rd
Rm 263
Patchogue, NY 11772
Phone (631) 687-4131

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

160 E Main St
Fl 1
Port Jervis, NY 12771
Phone (845) 858-7000

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 7

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 3

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1972679447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "SUITE 102",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700",
            "fax_number": "845-565-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "SUITE 102",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700",
            "fax_number": "844-556-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "BIJO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "230770",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.