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

Dr. Justin Chacko, DO

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1306227038

Dr. Justin Chacko, DO is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Cogent Healthcare of Missouri Inc, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Nevada and Pennsylvania.

Years since qualifying
11
Licensed in
NV, PA
In the registry since
2015
Specialties on file
3
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

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone: (855) 768-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 — (702) 616-5615
  • 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 — (702) 492-8614

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence CL0262 (NV)
Internal Medicine Physician Taxonomy 207R00000X · Licence OT016725 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence CL0262 (NV)

Record details

NPI number1306227038
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2015
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cogent Healthcare Of Missouri Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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