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ACHANKUNJU A CHACKO MD LLC
NPI 1801189055
Clinic/Center in Takoma Park, MD

Active since May 20, 2011
7610 CARROLL AVE, SUITE 390, TAKOMA PARK, MD 20912(301) 270-5522(301) 270-4837 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Achankunju A Chacko Md Llc NPPES

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

ACHANKUNJU A CHACKO MD LLC (NPI 1801189055) is a healthcare organization registered as a clinic/center in Takoma Park, Maryland and active in the NPI registry since May 2011. The organization lists Achankunju A Chacko, Md, as its authorized official.

NPPES Registry Identity

NPI1801189055
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameACHANKUNJU A CHACKO MD LLC
Location Address7610 CARROLL AVE, SUITE 390Takoma Park, MD 20912-6384
Mailing Address7610 Carroll Ave, Suite 390Takoma Park, MD 20912-6384 · (301) 270-5522 · Fax (301) 270-4837
Phone(301) 270-5522
Fax(301) 270-4837
Organization SubpartNo
Authorized OfficialAchankunju A ChackoMd · (301) 270-5522
Enumeration DateMay 20, 2011
✔ NPI 1801189055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MD · D20129
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7610 CARROLL AVE, Takoma Park, MD 20912
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Other Identifiers 3

Medicare UPINC62684
Medicaid7959214000MD
Medicare PIN415989

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Achankunju A Chacko Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Achankunju A Chacko MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Achankunj Chacko, MD
Family Practice
NPI 1508878414
7610 CARROLL AVE SUITE # 390
Takoma Park, MD 20912
(301) 270-5522
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Achankunju A Chacko MD LLC's NPI number?

The NPI number for Achankunju A Chacko MD LLC is 1801189055. It was assigned to this organization in the NPPES registry on May 20, 2011.

Where is Achankunju A Chacko MD LLC located?

Achankunju A Chacko MD LLC is located at 7610 Carroll Ave Suite 390, Takoma Park, MD 20912. The listed phone number is (301) 270-5522.

What is Achankunju A Chacko MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Achankunju A Chacko MD LLC enrolled in Medicare?

Yes. Achankunju A Chacko MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Achankunju A Chacko MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Achankunju A Chacko MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Achankunju A Chacko MD LLC was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.