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MS. LEENA CHACKO MD NPI 1639206139


NPI Information

NPI: 1639206139
Provider Name: MS. LEENA CHACKO, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
22850 NE 8TH ST
#103
SAMMAMISH, WA
ZIP 98074
Phone: (425) 898-0305
Get Directions

MS. Leena Chacko, MD is a family medicine in Sammamish, WA with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MS. Leena Chacko, MD NPI is 1639206139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22850 NE 8TH ST
#103
SAMMAMISH, WA
ZIP 98074-256
Phone: (425) 898-0305
Fax: (425) 898-8825

The NPI 1639206139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 2/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD00047003WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G8864685MEDICARE PINWASHINGTON
2218598OTHERWASHINGTONLABOR & INDUSTRIES
3G8897716MEDICARE PINWASHINGTON
4G8886533MEDICARE PINWASHINGTON
52288CHOTHERWASHINGTONBLUE SHIELD
68475550MEDICAIDWASHINGTON
7I23544MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.