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

Suryamol A Chacko

Individual provider Registered Nurse · NPI 1053793927

Suryamol A Chacko is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2015, 11 years ago. Practices with Medstar Urgent Care LLC, a 299-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

8605 Rigley's Choice Dr
Baltimore, MD 21236
Phone: (855) 546-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R168493 (MD)
Registered Nurse Taxonomy 163W00000X · Licence R168493 (MD)

Record details

NPI number1053793927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2015
Last updated in NPPESJune 26, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Medstar Urgent Care Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

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