NPIMap

Individual provider Active NPI

Patrick C Chua, M.D.

  • Nephrology Physician
  • Des Moines, IA
National Provider Identifier
1043487937
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
40008 Issued in IA
Practice address
411 Laurel St
Suite 2350
Des Moines, IA 50314-3017
Phone
(515) 280-4700
Fax
(515) 280-4701
NPI assigned
May 11, 2008
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 40008 IA Primary

Addresses

Primary practice location

411 Laurel St
Suite 2350
Des Moines, IA 50314-3017

Mailing address

411 Laurel St Ste 2350
Des Moines, IA 50314-3026
Phone (515) 280-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000657 IA Practitioner - NephrologyPractitioner - Internal Medicine 5698939270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Kidney Care PLCGroup PAC ID 2769494590, 6 clinicians
Ringgold County HospitalGroup PAC ID 7315849973, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
FL 4
Des Moines, IA 50314-2610
Phone (515) 247-4400

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212

1229 C Ave E
Mahaska Health Partnership
Oskaloosa, IA 52577-4246
Phone (641) 672-3159

411 Laurel St
Suite 2350
Des Moines, IA 50314-3026
Phone (515) 421-4983

504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone (641) 464-3226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
RCG Mercy Des Moines, LLC PastSince Sep 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrickchua@aikc.ssdirect.aprima.com
  • Direct secure messaging: pchua3941886@direct.trinity-health.org
  • Direct secure messaging: pchua97196@direct.unitypoint.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1043487937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143026",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "PATRICK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-11",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "40008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.