RONY THANNIMOOTTILCHIRAYIL CHACKO AGACNP-BC - NPI 1215707567

Q: What is Rony Thannimoottilchirayil Chacko's NPI number?

The NPI number for Rony Thannimoottilchirayil Chacko is 1215707567. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Q: What is Rony Thannimoottilchirayil Chacko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

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About Rony Thannimoottilchirayil Chacko Agacnp-bc NPPES

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

RONY THANNIMOOTTILCHIRAYIL CHACKO AGACNP-BC (NPI 1215707567) is an individual acute care provider in Allen, Texas, licensed in Texas (1141167) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215707567

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameRONY THANNIMOOTTILCHIRAYIL CHACKOCredential: AGACNP-BC

Location Address1001 RAINTREE CIRAllen, TX 75013-4912

Mailing Address4025 Bashful DrPlano, TX 75093-6977 · (469) 866-2643

Phone(972) 908-2000

Sole ProprietorYes

Enumeration DateJanuary 8, 2024

NPPES CertifiedJanuary 5, 2024

✔ NPI 1215707567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1141167

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1141167 (TX)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1141167 (TX)

1001 RAINTREE CIR, Allen, TX 75013

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rony Thannimoottilchirayil Chacko Agacnp-bc 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 75013 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 9

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

SAMANTHA A GAUNTLETT

Occupational Therapy Assistant