Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anita Chacko, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134784424

Anita Chacko, DO is an Internal Medicine in Phoenix, Arizona. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2019, 7 years ago. Practices with Maricopa County Special Health Care District, a 127-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2025 W Northern Ave
Phoenix, AZ 85021-5157
Phone: (602) 655-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 009860 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134784424
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address2601 E Roosevelt St, Phoenix, AZ 85008-4973

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2019 (7 years in practice)
Group practice Maricopa County Special Health Care District — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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