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TOBIN CHAKKALA
NPI 1609519248
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL

Active since April 20, 2022PECOS Enrolled
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316(954) 355-4400 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tobin Chakkala NPPES

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

TOBIN CHAKKALA (NPI 1609519248) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609519248
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTOBIN CHAKKALA
Location Address1600 S ANDREWS AVEFort Lauderdale, FL 33316-2510
Mailing Address12319 Nw 52nd CtCoral Springs, FL 33076-3435 · (954) 397-1905
Phone(954) 355-4400
Sole ProprietorYes
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1609519248 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.

1600 S ANDREWS AVE, Fort Lauderdale, FL 33316
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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)

Tobin Chakkala 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 20

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

DIANNE MATTOX PARKER M.D.
Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5810
AKILAH FULLER PHARMD, MS
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JACOB GOLDENBERG MD
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 941-8300
TIFFANY SKYE SCULTHORPE DO, MS
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JOHN BERNE MD
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (305) 918-7050
DR. EDUARDO A. OTERO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Broward County (954) 355-5870
WESTSIDE HOSPITALIST INC
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400

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 Tobin Chakkala's NPI number?

The NPI number for Tobin Chakkala is 1609519248. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Tobin Chakkala located?

Tobin Chakkala practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4400.

What is Tobin Chakkala's specialty?

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

Is Tobin Chakkala enrolled in Medicare?

Yes. Tobin Chakkala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tobin Chakkala was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.