Renu Chacko is a Family Medicine Physician practicing in Oklahoma City, Oklahoma. The National Provider Identifier (NPI) is #1417837436, which was assigned on September 3, 2025, and the registration record was last updated on September 5, 2025. The practitioner's main practice location is at 1919 E Memorial Rd, Oklahoma City, OK 73131-1253; the contact telephone number is 4053417009. The primary taxonomy of Renu Chacko is Family Medicine Physician (207Q00000X). Renu Chacko is licensed to practice in the state of Oklahoma (#225259).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
| NPI | 1417837436 |
| Entity Type | Individual |
| Provider Name | RENU CHACKO |
| Gender | Female |
| Credential | APRN |
| Practice Address |
1919 E Memorial Rd Oklahoma City OK 73131-1253 |
| Practice Telephone | 4053417009 |
| Mailing Address |
1919 E Memorial Rd Oklahoma City OK 73131-1253 |
| Mailing Telephone | 4053417009 |
| Mailing Fax Number | 4053301811 |
| Certification Date | 2025-09-05 |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-05 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 225259 | OK |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Olympic Concierge Med, Inc. | 25200 Sawyer Francis Ln, Lutz, FL 33559-6947 | Family Medicine Physician | 2025-09-05 |
| Katrina Cochran | 1110 Sugar Hill Dr, Moncks Corner, SC 29461-6003 | Family Medicine Physician | 2025-09-06 |
| Jordan Mills | 2836 Enterprise Rd, Debary, FL 32713-5210 | Family Medicine Physician | 2025-09-05 |
| Metcare of Florida Inc. | 135 S Pompano Pkwy, Pompano Beach, FL 33069-3003 | Family Medicine Physician | 2025-09-05 |
| Unknown Poonam | 701 E Rosser Ave, Bismarck, ND 58501-4457 | Family Medicine Physician | 2025-09-05 |
| Vitalhealthnp PLLC | 956 Twilight Peak Ave, Henderson, NV 89012-5102 | Family Medicine Physician | 2025-09-05 |
| Madison Skye Belluccia | 497 Sand Broad Ct, Westerville, OH 43081-5075 | Family Medicine Physician | 2025-09-05 |
| Dawn Marie Bronico | 1206 Sullivan Trl, Easton, PA 18040-1353 | Family Medicine Physician | 2025-09-06 |
| Align Whole Oneness Holistic Services Inc. | 324 E Belt Line Rd Ste 703, Desoto, TX 75115-5706 | Family Medicine Physician | 2025-09-05 |
| Grace At Home | 2300 N St Nw Ste 200, Washington, DC 20037-1353 | Family Medicine Physician | 2025-09-05 |
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| Street Address |
1919 E MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73131-1253 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ethan A Doerger | 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 | Registered Nurse | 2024-11-06 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Christopher Todd James · Christ James | 1919 E. Memorial Rd, C/O Mercy After Hours, Oklahoma City, OK 73131-1253 | Medical Physician Assistant | 2006-07-07 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Britney Jarvis | 9401 N Kelley Ave Ste B, Oklahoma City, OK 73131-2442 | Physical Therapy Assistant | 2025-01-23 |
| Asm LLC | 3812 Ne 104th St # 200, Oklahoma City, OK 73131-5204 | Customized Equipment (DME) | 2022-10-12 |
| Corbin Henningsen, PLLC | 1800 Ne 135th St Ste 13, Oklahoma City, OK 73131-8001 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2019-12-28 |
| Gwendolyn Johnson | 9212 N Kelley Ave Ste 200, Oklahoma City, OK 73131-2419 | Community/Behavioral Health Agency | 2011-11-23 |
| Courtney Harris | 9212 N Kelley Ave Ste 200, Oklahoma City, OK 73131-2419 | Professional Counselor | 2019-01-17 |
| Heather L Laufer · Heather Garba | 9433 N Kelley Ave, Oklahoma City, OK 73131-2415 | Physical Therapist | 2017-12-13 |
| Emily Morgan Pollard | 1810 E Memorial Rd, Oklahoma City, OK 73131-1237 | Anesthesiology Physician | 2015-05-12 |
| Savanna Kyle Stout | 9401 N Kelley Ave, Oklahoma City, OK 73131-2441 | Speech-Language Assistant | 2025-04-22 |
| Ashten Nicole Wilmuth | 9401 N Kelley Ave Ste B, Oklahoma City, OK 73131-2442 | Occupational Therapist | 2022-07-13 |
| Ashley Nicole Singley · Ashley Nicole Stewart | 9401 N Kelley Ave Ste B, Oklahoma City, OK 73131-2442 | Occupational Therapy Assistant | 2025-02-10 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Priya Renu | 4111 Okemos Rd Ste 100, Okemos, MI 48864-3235 | Nurse Practitioner | 2016-08-11 |
| Renu R Mahajan | 101 Madison St Ste 300, Oak Park, IL 60302-4210 | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2007-05-04 |
| Renu Chiropractic Navarrete Inc. | 1525 Superior Ave Ste 214, Newport Beach, CA 92663-3639 | Chiropractor | 2025-02-03 |
| Joseph Chacko Valayam · Josemon Chacko Valayam | 1324 Woodland Dr, Suite A, Elizabethtown, KY 42701-2651 | Interventional Cardiology Physician | 2009-10-01 |
| Renu Eating Disorder Treatment | 3381 Walnut Blvd Ste 200b, Brentwood, CA 94513-4495 | Registered Dietitian | 2024-01-17 |
| Renu K Thapar | 12121 Richmond Ave, Suite 114, Houston, TX 77082-2432 | Psychiatry Physician | 2005-10-13 |
| Renu Sukhupayo | 6565 N. Charles Street, Ppe Suite 201, Towson, MD 21204 | Student in an Organized Health Care Education/Training Program | 2025-04-22 |
| Renu B Prakash | 235 N Pearl St, Brockton, MA 02301-1794 | Internal Medicine Physician | 2005-09-20 |
| Renu Alex Thomas | 2223 Vine St, Apt 5, Lincoln, NE 68503-2456 | Clinical Psychologist | 2010-02-09 |
| Renu Health & Wellness LLC | 7997 W Sahara Ave Ste 103, Las Vegas, NV 89117-7901 | Family Nurse Practitioner | 2025-01-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |