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DAVID M CHACKO M.D. PH.D. NPI 1922167303


NPI Information

NPI: 1922167303
Provider Name: DAVID M CHACKO, M.D., PH.D.
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

Organization: GRENE VISION GROUP LLC

PECOS Registration: Yes

Address:
655 N WOODLAWN
WICHITA, KS
ZIP 67208
Phone: (316) 684-5158
Get Directions

David M Chacko, M.D., PH.D. is a retina specialist ophthalmology in Wichita, KS with 37 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. David M Chacko, M.D., PH.D. NPI is 1922167303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

655 N WOODLAWN
WICHITA, KS
ZIP 67208
Phone: (316) 684-5158
Fax: (316) 681-1005

The NPI 1922167303 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.

  • Photography of the retina (HCPCS:92250)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)

The enumeration date for this NPI number is 12/8/2006 and was last updated on 1/29/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology0429173KANSASNo
2207WX0107XOphthalmologyRetina Specialist0429173KANSASYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100143410BMEDICAIDKANSAS
2180043551OTHERKANSASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.