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RUTH CHACKO M.D.
NPI 1093754715
Emergency Medicine in Saint Louis, MO

Active since June 06, 2006PECOS Enrolled
6420 CLAYTON RD, SAINT LOUIS, MO 63117(314) 768-8000(314) 768-8011 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ruth Chacko M.d. NPPES

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

RUTH CHACKO M.D. (NPI 1093754715) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (R9305) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093754715
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameRUTH CHACKOCredential: M.D.
Location Address6420 CLAYTON RDSaint Louis, MO 63117-1811
Mailing Address1836 Lackland Hill Pkwy, Attn: CredentialingSaint Louis, MO 63146-3572 · (314) 989-0300 · Fax (314) 810-1399
Phone(314) 768-8000
Fax(314) 768-8011
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 26, 2009
✔ NPI 1093754715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MO · R9305✔ Licensed in IL · 036060005
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6420 CLAYTON RD, Saint Louis, MO 63117
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Other Identifiers 4

Medicaid1093754715MO
Medicare PIN156580037MO
Medicaid$$$$$$$$$-3IL
Medicare ID-Type Unspecified134050166MO · Smhc-mo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruth Chacko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 20

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

KRISTA HARRY PHARMD
Pharmacist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8341
ANDERSON WEST JR. REGISTERED NURSE
Registered Nurse
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8644
VICTORIA CERNETICH MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
DR. SHOUYING DU M.D
Pathology (Anatomic Pathology & Clinical Pathology)
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 344-7525
AUDREY KATE DOMBROWSKI MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
MARISA CLEMENTE
Occupational Therapist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8000
LAUREN VALERIA EVELTI
Student in an Organized Health Care Education/Training Program
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8000
PAMELA HAMPTON CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruth Chacko's NPI number?

The NPI number for Ruth Chacko is 1093754715. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Ruth Chacko located?

Ruth Chacko practices at 6420 Clayton Rd, Saint Louis, MO 63117. The listed phone number is (314) 768-8000.

What is Ruth Chacko's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ruth Chacko enrolled in Medicare?

Yes. Ruth Chacko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ruth Chacko was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.