SERENA M CHACKO M.D. NPI 1184987521

NPI Details

Serena M Chacko, M.D. is a diagnostic radiology radiology in Grand Rapids, MI with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Serena M Chacko, M.D. NPI is 1184987521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7272
Fax: (616) 361-5828

The NPI 1184987521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)

The enumeration date for this NPI number is 6/20/2012 and was last updated on 9/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.