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

Dr. Chacko Nebu, MD

Individual provider General Practice Physician · NPI 1538439559

Dr. Chacko Nebu, MD is a General Practice in Port St Lucie, Florida. Qualified in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
36
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7025 Oleander Ave
Port St Lucie, FL 34952-9028
Phone: (609) 744-4133
Fax: (772) 882-5166
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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 ME111310 (FL)
General Practice Physician Taxonomy 208D00000X · Licence ME 111310 (FL)

Record details

NPI number1538439559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address8450 S Us Highway 1, Port St Lucie, FL 34952-3306

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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