DR. SHINYMOL JOHN CHACKO MD
NPI 1487853156
Internal Medicine in Peoria, IL

Q: What is Shinymol Chacko's NPI number?

The NPI number for Shinymol Chacko is 1487853156. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Shinymol Chacko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Shinymol Chacko was last updated on April 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2007PECOS Enrolled

7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615(309) 589-6800 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Shinymol John Chacko Md NPPES

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

DR. SHINYMOL JOHN CHACKO MD (NPI 1487853156) is an individual internal medicine provider in Peoria, Illinois, licensed in Michigan (4301075416) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487853156

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHINYMOL JOHN CHACKOCredential: MD

Location Address7717 N ORANGE PRAIRIE RDPeoria, IL 61615-9323

Mailing Address7717 N Orange Prairie RdPeoria, IL 61615-9323 · (309) 589-6800

Phone(309) 589-6800

Sole ProprietorNo

Enumeration DateJuly 13, 2007

Last NPPES UpdateApril 17, 2013

✔ NPI 1487853156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301075416

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7717 N ORANGE PRAIRIE RD, Peoria, IL 61615

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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)

Dr. Shinymol John 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 61615 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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