PHILIP SONI CHACKO
NPI 1639707458
Surgery in Charleston, WV

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 208600000X.

Active since March 28, 2020PECOS Enrolled

3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(248) 514-1520 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 28, 2025, Jun 20, 2025, Mar 22, 2021 and 3 more (6 updates tracked since 2020).

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About Philip Soni Chacko NPPES

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

PHILIP SONI CHACKO (NPI 1639707458) is an individual surgery provider in Charleston, West Virginia, licensed in West Virginia (4674) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639707458

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NamePHILIP SONI CHACKO

Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227

Mailing Address3200 Maccorkle Ave SeCharleston, WV 25304-1227

Phone(248) 514-1520

Sole ProprietorNo

Enumeration DateMarch 28, 2020

Last NPPES UpdateJune 28, 20256 updates tracked since enumeration

NPPES CertifiedJune 28, 2025

✔ NPI 1639707458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WV · 4674✔ Licensed in MI · 5151014370

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3200 MACCORKLE AVE SE, Charleston, WV 25304

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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)

Philip Soni 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.