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SHOBIN CHACKO PA-C
NPI 1609247063
Physician Assistant in Bronx, NY

Active since October 12, 2015PECOS EnrolledAccepts Medicare Assignment
1825 EASTCHESTER RD, BRONX, NY 10461(718) 904-2000 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2021, Jun 24, 2017 (2 updates tracked since 2017).

About Shobin Chacko Pa-c NPPES

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

SHOBIN CHACKO PA-C (NPI 1609247063) is an individual physician assistant in Bronx, New York, licensed in New York (019190-1) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609247063
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHOBIN CHACKOCredential: PA-C
Location Address1825 EASTCHESTER RDBronx, NY 10461-2301
Mailing Address24 Monrovia BlvdTuckahoe, NY 10707-1024
Phone(718) 904-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 12, 2015
Last NPPES UpdateApril 2, 20212 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1609247063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 019190-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1825 EASTCHESTER RD, Bronx, NY 10461
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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 and accepts Medicare assignment

Shobin Chacko Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749550259
PECOS Enrollment IDI20220920000550
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cane, includes canes of all materials, adjustable or fixed, with tip E0100
DME-Other DME · category DE000N
1 supplier18 claims18 services$19.88 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier31 claims31 services$41.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ANGELICA ROSA ANGIULLI MD
Emergency Medicine
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904
KOHTARO OOKA
Internal Medicine (Gastroenterology)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (844) 556-6683
MR. ZAPHIN VARGHESE
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
YILUN LI
Physician Assistant
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (203) 710-6502
KIRA PAGE
Student in an Organized Health Care Education/Training Program
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
DR. CRISTINA MARIA GONZALEZ M.D.
Hospitalist
1825 EASTCHESTER RD, DOM 2-76
BRONX, NY 10461
Bronx County (718) 904-2400
DARSHITA SHAH MD
Obstetrics & Gynecology
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2767
SHRUTHEE RAJENDRAN
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904

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 Shobin Chacko's NPI number?

The NPI number for Shobin Chacko is 1609247063. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Shobin Chacko located?

Shobin Chacko practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 904-2000.

What is Shobin Chacko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shobin Chacko enrolled in Medicare?

Yes. Shobin Chacko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shobin Chacko affiliated with any hospitals?

According to CMS data, Shobin Chacko is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Shobin Chacko was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.