NATHAN CHACLAS
NPI 1962297010
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Nathan Chaclas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN CHACLAS (NPI 1962297010) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nathan Chaclas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Nathan Chaclas's NPI number?
The NPI number for Nathan Chaclas is 1962297010. It was assigned to this individual provider in the NPPES registry on April 10, 2025.
Where is Nathan Chaclas located?
Nathan Chaclas practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.
What is Nathan Chaclas's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nathan Chaclas enrolled in Medicare?
Yes. Nathan Chaclas is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nathan Chaclas was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Nathan Chaclas · NPI 1962297010
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 10, 2025.
## Identity
- **NPI:** 1962297010 (Entity type: Individual)
- **Enumerated:** April 10, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S 11TH ST, Philadelphia, PA 19107-4870
- **Phone:** (215) 955-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 10, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1962297010) · Data from the CMS NPPES public registry.