Individual provider Active NPI

Chuanchau Jerry Jou, DO

  • Pediatric Cardiology Physician
  • Lehi, UT
National Provider Identifier
1104011998
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
6138575-1204 Issued in UT
Practice address
680 E Main St Ste 200
Lehi, UT 84043-2251
Phone
(385) 477-6800
Fax
(855) 840-2220
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 6138575-1204 UT Primary

Addresses

Primary practice location

680 E Main St Ste 200
Lehi, UT 84043-2251

Mailing address

680 E Main St Ste 200
Lehi, UT 84043-2251
Phone (385) 477-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101022000000 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric MedicinePractitioner - Cardiac Surgery 7214120260 Reassigns benefits to 1 organization
I20151009000000 ID Practitioner - Pediatric Medicine 7214120260 Reassigns benefits to 1 organization
I20201109002734 WY Practitioner - Cardiovascular Disease (Cardiology) 7214120260 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Apr 15, 2022 Accepting new patients
Peak ENT Associates CurrentSince Jul 1, 2020 Accepting new patients
Teton County Hospital District CurrentSince Nov 1, 2020 Accepting new patients
Wasatch Pediatric Cardiology Associates Pediatric Cardiology Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

520 S Eagle Rd
#2204
Meridian, ID 83642
Phone (208) 336-9188

3668 W 2150 N
Ste 300
Lehi, UT 84048

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

750 Round Valley Dr
Ste 102
Park City, UT 84060
Phone (435) 655-0926

1055 N 300 W
Ste 308
Provo, UT 84604
Phone (801) 357-7327

1055 N 300 W
Ste 303
Provo, UT 84604
Phone (801) 356-1300

1055 N 300 W
Ste 302
Provo, UT 84604
Phone (801) 357-2534

1055 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 852-9684

1055 N 300 W
Ste 311
Provo, UT 84604
Phone (385) 477-6800

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

692 E Market Place Dr
Ste 201
Spanish Fork, UT 84660
Phone (385) 448-0446

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1104011998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST STE 200",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432251",
            "telephone_number": "385-477-6800",
            "fax_number": "855-840-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST STE 200",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432251",
            "telephone_number": "385-477-6800",
            "fax_number": "855-840-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOU",
        "first_name": "CHUANCHAU",
        "middle_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "UT",
            "license": "6138575-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.