Individual provider Active NPI

David Damaret Chube, M.D.

  • Legal Medicine
  • Gary, IN
National Provider Identifier
1124024096
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
01038347 Issued in IN
Practice address
3229 Broadway
Ste 111
Gary, IN 46409-1040
Phone
(219) 887-4402
Fax
(219) 887-4415
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 01038347 IN Primary

Addresses

Primary practice location

3229 Broadway
Ste 111
Gary, IN 46409-1040

Mailing address

3229 Broadway
Ste 111
Gary, IN 46409-1040
Phone (219) 887-4402

Other identifiers 1

IdentifierTypeStateIssuer
01038347OtherINLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171201002372 IN Practitioner - Family Practice 9335406172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Grant St
Gary, IN 46402-6001
Phone (219) 218-2099

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038347INMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Vascular and Vein Center LLC CurrentSince Dec 1, 2019 Accepting new patients
Chube2 Primary Care LLC CurrentSince Dec 1, 2017 Accepting new patients
Northwest Indiana Occupational Pain and Wellness Center, LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

6400 Melton Rd
Gary, IN 46403
Phone (219) 756-7246

8127 Merrillville Rd
Ste 1
Merrillville, IN 46410
Phone (219) 548-2999

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124024096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 BROADWAY",
            "address_2": "STE 111",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464091040",
            "telephone_number": "219-887-4402",
            "fax_number": "219-887-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 BROADWAY",
            "address_2": "STE 111",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464091040",
            "telephone_number": "219-887-4402",
            "fax_number": "219-887-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBE",
        "first_name": "DAVID",
        "middle_name": "DAMARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IN",
            "license": "01038347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "01038347",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.