Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790273852 Individual Practitioner Female Practitioner

Dr. Jessica Nicole Chacko , MD

Pediatrics • Lithia, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Chacko, MD is a registered healthcare professional specializing in Pediatrics in Lithia, FL. Practice services are available at 12649 HORSESHOE BEND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12649 Horseshoe Bend Dr

Lithia, FL 335473311

Telephone 7752337196

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lithia, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Lithia, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME150652

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

970 Cypress Village Blvd

Sun City Center, FL 335736830

Phone: 8133591561

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 26, 2024

Registered at 12649 HORSESHOE BEND DR, LITHIA, FL 335473311 (Tel: 7752337196)

📍
Updated Business Mailing Address July 26, 2024

Registered at 12649 HORSESHOE BEND DR, LITHIA, FL 335473311 (Tel: 7752337196)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2024

Pediatrics (License #ME150652 in FL)

👤
Provider Name / Credentials Updated January 15, 2021

Recorded as JESSICA CHACKO, MD

NPI Profile Active April 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2018

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056666511)

📍
Updated Business Mailing Address April 24, 2018

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056666511)

👤
Provider Name / Credentials Updated April 24, 2018

Recorded as JESSICA WEIN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790273852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2018
Last Update: August 21, 2024
Sole Proprietor: No

Mailing Address

12649 Horseshoe Bend Dr

Lithia, FL 335473311

Phone: 7752337196

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.