DR. RON J CHACKO MD - NPI 1053527184 - Family Medicine in Berwyn, IL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Dr. Ron J Chacko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RON J CHACKO MD (NPI 1053527184) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036.126315) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1053527184

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RON J CHACKOCredential: MD

Location Address7000 CERMAK RDBerwyn, IL 60402-2112

Mailing Address213 N Racine Ave, Suite 100Chicago, IL 60607-1644 · (312) 733-9730

Phone(708) 484-8090

Fax(708) 445-4444

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2006

Enumeration DateMay 15, 2007

Last NPPES UpdateDecember 4, 2024

NPPES CertifiedDecember 4, 2024

✔ NPI 1053527184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036.126315✔ Licensed in CA · A107917

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7000 CERMAK RD, Berwyn, IL 60402

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Secondary Practice Location 1

Location 14732 N Lincoln Ave Ste 200Chicago, IL 60625-8561 · Phone (312) 926-3627 · Fax (312) 694-7291

Other Identifiers 1

OtherF400139202IL · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ron J Chacko Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678753712

PECOS Enrollment IDI20110208000128

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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