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Active NPI 1710573159 Individual Practitioner Female Practitioner

Susan Chacko , APRN

Nurse Practitioner - Primary Care • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Susan Chacko, APRN is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Dallas, TX. Practice services are available at 5200 HARRY HINES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5200 Harry Hines Blvd

Dallas, TX 752357709

Telephone 5169417930
Associated Practice Facility / Clinic
🏢 Dallas County Hospital District Facility NPI 1649278995

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
51 Specialists

Practicing in Dallas, TX (828 Statewide)

Telehealth Adoption Rate
17.6% 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: 2020-12-20
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License TX AP140734

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003227802

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Eric Lara , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003275025

Certified Registered Nurse Anesthetist

Dr. Neil Keshvani , MD

Internal Medicine - Cardiovascular Disease

NPI 1003279969

Doctor of Medicine (M.D.)

Dr. Sagar Patel , MD

Anesthesiology

NPI 1003313123

Doctor of Medicine (M.D.)

Dr. David Johnson , MD

Internal Medicine - Medical Oncology

NPI 1013009422

Doctor of Medicine (M.D.)

NPI 1013306653

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active December 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2020

Registered at 5200 HARRY HINES BLVD, DALLAS, TX 752357709 (Tel: 5169417930)

📍
Updated Business Mailing Address December 20, 2020

Registered at 1024 BLUE HERON DR, FORNEY, TX 751268311 (Tel: 5169417930)

👤
Provider Name / Credentials Updated December 20, 2020

Recorded as SUSAN CHACKO, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2020

Nurse Practitioner (License #AP140734 in TX)

🟢
Initial NPI Registration & Enumeration December 20, 2020

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: 1710573159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2020
Last Update: December 20, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1024 Blue Heron Dr

Forney, TX 751268311

Phone: 5169417930

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.