DR. PAUL CHACKO (M.D.) – Cardiovascular Disease Physician, NPI 1932253200

DR. PAUL CHACKO (M.D.) is a healthcare provider. based in Roseville, Michigan. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.088722 (OH). The NPI Number for DR. PAUL CHACKO (M.D.) is 1932253200

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL CHACKO (M.D.)
NPI
1932253200
Phone
(586) 775-4594
Address
25195 KELLY RD STE A
Enumeration Date
23 January 2007
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193833578
Graduation Year
1999 (27 years ago)
PAC ID
1759382930
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20070131000300
Address ID
OH436142595TO3000XAVEX300

Contacts

Secure Messaging
paul.chacko.1@9641.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

218 CARDIAC ELECTROPHYSIOLOGY in OH

Provider Addresses for DR. PAUL CHACKO (M.D.)

  • 25195 KELLY RD STE A

    ROSEVILLE, MI 480664909

    Phone: (586) 775-4594

    Type: Mailing

  • 4235 SECOR RD

    TOLEDO, OH 436234231

    Phone: (419) 479-5690

    Fax: (419) 479-5700

    Type: Location

  • 3000 Arlington Ave Fl 1

    Toledo, OH 436142595

    Phone: (419) 383-3963

    Fax: (419) 393-6167

    Type: Location

  • 3000 ARLINGTON AVE STOP 1108

    TOLEDO, OH 436142595

    Phone:

    Type: Mailing

  • 4510 DORR ST # MS 840

    TOLEDO, OH 436154040

    Phone: (419) 383-3963

    Fax: (419) 383-6167

    Type: Mailing

  • 3000 ARLINGTON AVE

    TOLEDO, OH 436142595

    Phone: (419) 383-3963

    Fax: (419) 383-6167

    Type: Location

  • 1722, Shaffer Street, Eastwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States

    KALAMAZOO, MI 490481633

    Phone: (269) 381-3963

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $3,916.

Total Amount is formed as General ($3,916) + Research ($0) + Ownership ($0) = $3,916.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($1,471).

Total Amount

$3,916

General + Research + Ownership

Payments

65

Total payment records

General Amount

$3,916

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070131000300ICardiac ElectrophysiologyOHTBD
I20191212002024ICardiac ElectrophysiologyNDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2,1791,312$0
93280Programming of dual lead pacemaker system233173$0
99214Established patient office or other outpatient visit, 30-39 minutes193172$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes127110$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9174$0
View full utilization report →

Insurance plans in this area (ZIP 48066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

How is DR. PAUL CHACKO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. PAUL CHACKO (M.D.) with NPI 1932253200.
Can I rely on DR. PAUL CHACKO (M.D.) being an active provider?
As of the registry snapshot, DR. PAUL CHACKO (M.D.) is marked active.
What is DR. PAUL CHACKO (M.D.)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for DR. PAUL CHACKO (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. PAUL CHACKO (M.D.) based?
DR. PAUL CHACKO (M.D.) is tied to Roseville, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
8 practice locations appear in the available data.