NPIMap

Patrick C Chua, M.D.

Individual provider Active NPI Nephrology Physician · Des Moines, IA

NPI 1043487937 · NPPES record last updated Jan 6, 2015

Key facts

NPI
1043487937
Entity type
Individual (NPI type 1)
Primary specialty
Nephrology Physician 207RN0300X
License
40008 (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
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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

Hospital & facility affiliations 14

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

Medicare Care Compare profile

Specialty
Nephrology
Also: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Kidney Care PLC (6 clinicians)
Ringgold County Hospital (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

  • FKC - West Des Moines Dialysis facility · West Des Moines, IA · CCN 162569
  • Wayne County Hospital ESRD Dialysis facility · Corydon, IA · CCN 162324
  • FMC - Mercy Dialysis facility · Des Moines, IA · CCN 162532
  • Mercyone Des Moines Medical Center Hospital · Des Moines, IA · CCN 160083
  • Ringgold County Hospital Hospital · Mount Ayr, IA · CCN 161373
  • Wayne County Hospital Hospital · Corydon, IA · CCN 161358
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital · Des Moines, IA · CCN 160082
  • Decatur County Hospital Hospital · Leon, IA · CCN 161340

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
RCG Mercy Des Moines, LLC Past
since Sep 1, 2018		 Accepting new patients

Interoperability endpoints

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
P01095595OtherIARR MEDICARE
1043487937OtherIAWELLMARK BCBS
1043487937MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2015.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01095595",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "1043487937",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043487937",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

All providers in Des Moines, IA · Nephrology Physician in Iowa

Sources for this page

Verify at the official NPI Registry.