Kevin K Chacko, MD
Pediatrics in Carrollton, TX. Individual provider (NPI-1).
NPI number1245720259
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1245720259
- Entity type
- Individual (NPI-1)
- Name
- Kevin K Chacko
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2018
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | T2840 | TX | Yes |
| 208000000X | Pediatrics | BP10064499 | TX |
Practice location
4649 Seabiscuit StCarrollton, TX 75010-4206
Phone 214-938-6605
Mailing address
Po Box 733784Dallas, TX 75373-3784
Phone 682-885-6483
Other practice locations
301 University Blvd
Galveston, TX 77555-1119
Galveston, TX 77555-1119
Phone 409-772-3695 · Fax 409-772-3680
4300 W University Dr Ste 10
Prosper, TX 75078-9806
Prosper, TX 75078-9806
Phone 682-303-8050
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Pediatrics Physician providers in Carrollton · All 2,768 providers in Carrollton
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