Individual provider Active NPI

Karen Chu, MD

  • Psychiatry Physician
  • Vancouver, WA
National Provider Identifier
1043717093
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
BP10063435 Issued in TX
Practice address
2415 NE 134TH St
Vancouver, WA 98686-3025
Phone
(360) 882-2778
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X BP10063435 TX Primary

Addresses

Primary practice location

2415 NE 134TH St
Vancouver, WA 98686-3025

Mailing address

2415 NE 134TH St
Vancouver, WA 98686-3025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201113000612 TX Practitioner - Psychiatry 9739435397 Reassigns benefits to 1 organization
I20240405000742 WA Practitioner - Psychiatry 9739435397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

2415 NE 134TH St
Suite 301
Vancouver, WA 98686-3029
Phone (360) 882-2778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10063435TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services Current Accepting new patients
The Vancouver Clinic Inc PS CurrentSince May 14, 2024 Accepting new patients
Spindletop MHMR Services CurrentSince Oct 8, 2020 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince May 14, 2024 Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

2415 NE 134th St
Vancouver, WA 98686

2415 NE 134th St
Ste 301
Vancouver, WA 98686
Phone (360) 576-3354

Interoperability endpoints

  • Direct secure messaging: kchu23815@tvc-direct.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1043717093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863025",
            "telephone_number": "360-882-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-05-29",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10063435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.