Active NPI
Antony Fu-Chin Chu, MD
- Clinical Cardiac Electrophysiology Physician
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD13862
- Practice address
- 1300 Anne St NW
Bemidji, MN 56601-5103 - Phone
- (218) 333-5000
- NPI assigned
- Dec 13, 2006
- Last updated
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD425544 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA08201400 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | MT179943 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | MD425544 | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 72112-20 | WI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD425544 | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD13862 | RI | Primary |
Addresses
Primary practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
593 Eddy St
APC Building 743
Providence, RI 02903-4923
Phone (401) 444-8689
Other practice location 2
2315 Myrtle St Ste 190
Erie, PA 16502-4604
Phone (814) 453-7767
Other practice location 3
2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 388-4333
Other practice location 4
700 S Park St Ste A
Madison, WI 53715-1830
Phone (608) 260-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063573764 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | achu286281@direct.ahn.org | ||
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | achu420646@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, RI, ND, OR, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Yale University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
164 Summit Ave
Providence, RI 02906-2853
1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280
185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
2650 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 269-8282
407 E Ave
Suite 120
Pawtucket, RI 02860-5290
Phone (401) 475-2505
593 Eddy St
Providence, RI 02903-4923
593 Eddy St Apc
Suite 6
Providence, RI 02903-4923
Phone (401) 793-9172
593 Eddy St George BLDG 1St Floor
Providence, RI 02903-4923
Phone (401) 793-9166
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08201400 | NJ | MD | Cardiovascular Disease Physician |
| MT179943 | PA | MD | Cardiovascular Disease Physician |
| MD425544 | PA | MD | Clinical Cardiac Electrophysiology Physician |
| MD13862 | RI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| St. Alexius Medical Center | Specialist | Current | Accepting new patients |
| Bay Area Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Cardiovascular Associates of the Delaware Valley,P a | Cardiovascular Disease | Past | Accepting new patients |
| Pennsylvania Heart and Vascular Group, P.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
450 S Washington St
Ste A
Gettysburg, PA 17325
Phone (717) 339-3105
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191
593 Eddy St
Providence, RI 02903
593 Eddy St
Bldg 743
Providence, RI 02903
Phone (401) 444-8689
Interoperability endpoints
- achu128924@secure.stcharleshealthcare.org
- achu286281@direct.ahn.org
- achu420646@direct-ehr-ssmhc.com
- achu7323@brownhealth.medalliesdirect.net
Organizations & group practices 19
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.
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1851677470
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba Sanford Health Behavioral Health Administration Office
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bemidji, MN
- NPI 1427567601
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
dba CHI St. Alexius Health
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1063573764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015103",
"telephone_number": "218-333-5000"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_2": "APC Building 743",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-8689",
"fax_number": "401-444-4652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 Myrtle St Ste 190",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165024604",
"country_code": "US",
"telephone_number": "814-453-7767",
"fax_number": "814-454-6667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 NE Neff Rd",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016015",
"country_code": "US",
"telephone_number": "541-388-4333",
"fax_number": "541-388-3446",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Park St Ste A",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-260-2900",
"fax_number": "608-260-2956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHU",
"first_name": "ANTONY",
"middle_name": "FU-CHIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD425544",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA08201400",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MT179943",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD425544",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WI",
"license": "72112-20",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PA",
"license": "MD425544",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "RI",
"license": "MD13862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063573764",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "achu286281@direct.ahn.org",
"affiliation": "N",
"address_1": "2315 Myrtle St Ste 190",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165024604",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "achu420646@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "achu420646@direct-ehr-ssmhc.com",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.