SOPHIA RACHEL CHACKO R.N., C.P.R.N
NPI 1922497361
Nurse Practitioner - Family in Philadelphia, PA

Active since January 22, 2015PECOS Enrolled
925 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107(267) 339-3500(215) 503-0580 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sophia Rachel Chacko R.n., C.p.r.n NPPES

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

SOPHIA RACHEL CHACKO R.N., C.P.R.N (NPI 1922497361) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP014506) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922497361
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA RACHEL CHACKOCredential: R.N., C.P.R.N
Location Address925 CHESTNUT ST, 5TH FLOORPhiladelphia, PA 19107-4216
Mailing Address925 Chestnut St, 5th FloorPhiladelphia, PA 19107-4216 · (267) 339-3500 · Fax (215) 503-0580
Fax(215) 503-0580
Sole ProprietorNo
Enumeration DateJanuary 22, 2015
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1922497361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP014506
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR17168500 (NJ), RN650774 (PA)
925 CHESTNUT ST, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Rachel Chacko R.n., C.p.r.n 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sophia Chacko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
833 CHESTNUT ST STE 1220
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 361 clinicians in this Medicare group
Foot and Ankle Surgery
230 W WASHINGTON SQ, 5TH FLOOR
Philadelphia, PA 19106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE
PHILADELPHIA, PA 19107
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Physician Assistant
925 CHESTNUT ST, FIFTH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Otolaryngology
925 CHESTNUT ST, 6TH FLOOR
PHILADELPHIA, PA 19107
Nuclear Medicine
925 CHESTNUT ST, SUITE 120
PHILADELPHIA, PA 19107
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE FLOOR
PHILADELPHIA, PA 19107

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 Sophia Chacko's NPI number?

The NPI number for Sophia Chacko is 1922497361. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Sophia Chacko located?

Sophia Chacko practices at 925 Chestnut St 5th Floor, Philadelphia, PA 19107. The listed phone number is (267) 339-3500.

What is Sophia Chacko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sophia Chacko enrolled in Medicare?

Yes. Sophia Chacko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Chacko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Chacko reassigns Medicare benefits to 2 organizations: Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA) and Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA). Each 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 Sophia Chacko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Chacko was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.