DR. MATHEW MELOOTTU CHACKO MD
NPI 1407956907
Psychiatry & Neurology - Neurology in Smithtown, NY

Q: What is Mathew Chacko's NPI number?

The NPI number for Mathew Chacko is 1407956907. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Mathew Chacko's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mathew Chacko was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 24, 2006PECOS Enrolled

222 E MAIN ST, SIUTE 101, SMITHTOWN, NY 11787(631) 360-0303(631) 360-2815 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Mathew Meloottu Chacko Md NPPES

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

DR. MATHEW MELOOTTU CHACKO MD (NPI 1407956907) is an individual neurology provider in Smithtown, New York, licensed in New York (149174) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407956907

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. MATHEW MELOOTTU CHACKOCredential: MD

Location Address222 E MAIN ST, SIUTE 101Smithtown, NY 11787-2871

Mailing Address222 E Main St, Siute 101Smithtown, NY 11787-2871 · (631) 360-0303 · Fax (631) 360-2815

Phone(631) 360-0303

Fax(631) 360-2815

Sole ProprietorYes

Enumeration DateSeptember 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407956907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NY · 149174

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

222 E MAIN ST, Smithtown, NY 11787

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINCO9698NY

Medicare ID-Type Unspecified42D571NY

Medicaid00893614NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mathew Meloottu Chacko Md 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 11787 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

DERMEDX DERMATOLOGY PC

Specialist

222 E MAIN ST, SUITE 228
SMITHTOWN, NY 11787

Suffolk County (631) 265-1351

DR. STEPHEN HONOR PH.D.

Specialist

222 E MAIN ST, SUITE 215
SMITHTOWN, NY 11787

Suffolk County (631) 979-6226

GARY L FOSTER PT

Specialist

222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787

Suffolk County (631) 366-3025

LEANNA ROSE JENKINS MA

Speech-Language Pathologist

222 E MAIN ST
SMITHTOWN, NY 11787

Suffolk County (631) 656-8484

RONALD BRAUN DDS

Dentist

222 E MAIN ST, SUITE 316
SMITHTOWN, NY 11787

Suffolk County (631) 724-0327

GREGORY J BEACH PT

Specialist

222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787

Suffolk County (631) 366-3025

BEACH & FOSTER PHYSICAL THERAPY, P.C.

Specialist

222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787

Suffolk County (631) 366-3025

DR. MICHAEL HERSHIPS PH.D.

Psychologist (Clinical)

222 E MAIN ST, SUITE 210
SMITHTOWN, NY 11787

Suffolk County (631) 361-9338

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 Mathew Chacko's NPI number?

The NPI number for Mathew Chacko is 1407956907. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Mathew Chacko located?

Mathew Chacko practices at 222 E Main St Siute 101, Smithtown, NY 11787. The listed phone number is (631) 360-0303.

What is Mathew Chacko's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mathew Chacko enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mathew Chacko was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.