RUTH CHACKO (M.D.) – Emergency Medicine Physician, NPI 1093754715

RUTH CHACKO (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. R9305 (MO). The NPI Number for RUTH CHACKO (M.D.) is 1093754715

Main info

Female
52 Years Of Experience
Accepts Medicare Assignment
Name
RUTH CHACKO (M.D.)
NPI
1093754715
Phone
(314) 989-0300
Address
1836 LACKLAND HILL PKWY
Enumeration Date
6 June 2006
Last Update Date
26 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142515850
Graduation Year
1974 (52 years ago)
PAC ID
5193626547
Group Practice PAC ID
1658276811
Professional Enrollment ID
I20040119000062
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for RUTH CHACKO (M.D.)

  • 1836, Lackland Hill Parkway, Ascalon, Maryland Heights, Saint Louis County, Missouri, 63146, United States

    ATTN: CREDENTIALING

    SAINT LOUIS, MO 631463572

    Phone: (314) 989-0300

    Fax: (314) 810-1399

    Type: Mailing

  • SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    SAINT LOUIS, MO 631171811

    Phone: (314) 768-8000

    Fax: (314) 768-8011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-06-09 • Largest payer in this snapshot: CSL Behring ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$40
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: 2004-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040119000062IEmergency MedicineMOTBD

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
99285Emergency department visit with high level of medical decision making9492$0
99284Emergency department visit with moderate level of medical decision making3838$0
99291Critical care, first 30-74 minutes3736$0
View full utilization report →

Insurance plans in this area (ZIP 63146)

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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: 1658276811View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMO
-MO
-MO
Emergency MedicineMO
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineMO
C H I R O P R A C T I CMO
Emergency MedicineMO
Allergy/Immunology, Internal MedicineMO
Physician AssistantIL

Reviews

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Frequently asked questions

What identifier follows RUTH CHACKO (M.D.) across health systems?
The NPI 1093754715 uniquely identifies RUTH CHACKO (M.D.) in U.S. healthcare data.
Is RUTH CHACKO (M.D.)'s NPI status active today?
Active status means RUTH CHACKO (M.D.)'s NPI record is not deactivated in the public file.
What type of care does RUTH CHACKO (M.D.) provide?
RUTH CHACKO (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RUTH CHACKO (M.D.) tied to Saint Louis, Missouri?
If you are local to Saint Louis, Missouri, RUTH CHACKO (M.D.) may be relevant to your search.
Can I export RUTH CHACKO (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.