Active NPI
Edgar Chou, MD
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD422282
- Practice address
- 205 N Broad St
6TH FL
Philadelphia, PA 19107-1554 - Phone
- (215) 762-5188
- Fax
- (215) 399-5896
- NPI assigned
- May 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD422282 | PA | Primary |
Addresses
Primary practice location
205 N Broad St
6TH FL
Philadelphia, PA 19107-1554
Mailing address
205 N Broad St FL 1
Philadelphia, PA 19107-1554
Phone (215) 587-8008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001955192 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040913001108 | PA | Practitioner - Internal Medicine | 4981671617 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York Medical College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jefferson University Physicians
Practice addresses (Care Compare)
1101 Market St
FL 19
Philadelphia, PA 19107-2926
205 N Broad St 1St Floor
Jefferson Internal Medicine Assocs
Philadelphia, PA 19107-1554
Phone (215) 587-8008
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD422282 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Internal Medicine | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
205 N Broad St
Ste 100
Philadelphia, PA 19107
Phone (215) 587-8008
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
205 N Broad St
Fl 1
Philadelphia, PA 19107
Phone (215) 587-8008
1601 Cherry St
Ste 11511
Philadelphia, PA 19102
219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
245 N 15th St
#498
Philadelphia, PA 19102
1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660
245 N 15th St
#M
Philadelphia, PA 19102
Phone (215) 762-1947
Organizations & group practices 6
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Internal Medicine, PA
-
- Dermatology Physician
- Greenville, DE
- NPI 1295011419
-
- Audiologist
- Elkins Park, PA
- NPI 1104822253
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Philadelphia, PA
- NPI 1154425254
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1124070123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N BROAD ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071554",
"telephone_number": "215-587-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BROAD ST",
"address_2": "6TH FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071554",
"telephone_number": "215-762-5188",
"fax_number": "215-399-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOU",
"first_name": "EDGAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD422282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001955192",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.