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Chacy Emmanuel Ong Llido

Physician Assistant β€’ Moore, OK

Active NPI 1245125210 Individual Practitioner Male Practitioner
Practice location in NPPES

400 N Eastern Ave
Moore, OK 731605833

Call 4057577818 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 N Eastern Ave

Moore, OK 731605833

Telephone 4057577818
Fax 4057060645
Organization at the Same NPPES Address or Phone
Aky Md, Llc Facility NPI 1063846699

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in El Reno, OK; Oklahoma City, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Chacy Emmanuel Llido has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Chacy Emmanuel Llido as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Moore and Oklahoma

25 active clinicians are listed under Physician Assistant with a practice address in Moore, OK (1,870 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Moore

20% of these 25 clinicians have the CMS telehealth indicator.

56% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20251110002092

Enrollment State Jurisdiction

OK

PECOS Control ID

5193215994

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3300 Nw Expressway

Oklahoma City, OK 731124418

Phone: 4059493155

2400 S Country Club Rd

El Reno, OK 730365801

Phone: 4053209444

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Karen Howard , FNP

Nurse Practitioner - Family

NPI 1508464363

Family Nurse Practitioner

Amy Mason , APRN

Nurse Practitioner - Family

NPI 1215661376

Advanced Practice Registered Nurse

My Nguyen , APRN CNP

Nurse Practitioner - Family

NPI 1043929359

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Tawna Pickle , APRN

Nurse Practitioner - Family

NPI 1750050456

Advanced Practice Registered Nurse

Alisson Ward , APRN

Nurse Practitioner - Pediatrics

NPI 1558835306

Advanced Practice Registered Nurse

Jana Webb , APRN

Nurse Practitioner - Family

NPI 1568044501

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 29, 2026

Registered at 400 N EASTERN AVE, MOORE, OK 731605833 (Tel: 4057577818)

πŸ“
Updated Business Mailing Address April 29, 2026

Registered at PO BOX 891625, OKLAHOMA CITY, OK 731891625

πŸ“
Updated Practice Location December 30, 2025

Registered at 2400 S COUNTRY CLUB RD, EL RENO, OK 730365801 (Tel: 4053209444)

πŸ“
Updated Business Mailing Address December 30, 2025

Registered at 4196 HIGHWAY 62 412 STE A, HARDY, AR 725428002

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2025

Physician Assistant

βœ…
NPI Profile Active June 10, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 10, 2025

Registered at 3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 731124418 (Tel: 4059493155)

πŸ“
Business Mailing Address (Initial Record) June 10, 2025

Registered at 3416 PATHWAY CIR, NORMAN, OK 730722944

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2025

Recorded as CHACY EMMANUEL LLIDO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 10, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245125210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2025
Last Update: April 29, 2026
Sole Proprietor: No

Other Physician Assistants in Moore

All Physician Assistants in Moore

Mailing Address

Po Box 891625

Oklahoma City, OK 731891625

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.