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ANDREW CHACKO
NPI 1457092942
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 06, 2022PECOS Enrolled
550 UNIVERSITY BLVD STE 641, INDIANAPOLIS, IN 46202(317) 948-2444 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 31, 2023, Apr 6, 2022 (2 updates tracked since 2022).

About Andrew Chacko NPPES

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

ANDREW CHACKO (NPI 1457092942) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457092942
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW CHACKO
Location Address550 UNIVERSITY BLVD STE 641Indianapolis, IN 46202-5149
Mailing Address550 University Blvd Ste 641Indianapolis, IN 46202-5149 · (317) 948-2444 · Fax (614) 663-4555
Phone(317) 948-2444
Sole ProprietorYes
Enumeration DateApril 6, 2022
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1457092942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
550 UNIVERSITY BLVD STE 641, Indianapolis, IN 46202
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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)

Andrew Chacko 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.

Other Providers at the Same Location NPPES 2

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

ROBERT D SELLEY D.O.
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD STE 641
INDIANAPOLIS, IN 46202
Marion County (317) 944-1816
JERMAINE JACKSON CHAMBERS MD
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD STE 641
INDIANAPOLIS, IN 46202
Marion County (317) 278-7056

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 Andrew Chacko's NPI number?

The NPI number for Andrew Chacko is 1457092942. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Andrew Chacko located?

Andrew Chacko practices at 550 University Blvd Ste 641, Indianapolis, IN 46202. The listed phone number is (317) 948-2444.

What is Andrew Chacko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Chacko enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Chacko was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.