Individual provider Active NPI

Samuel Chu CHI Chao, M.D.

  • Vascular & Interventional Radiology Physician
  • Federal Way, WA
National Provider Identifier
1154522092
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD60201743 Issued in WA
Practice address
533 S. 336TH Street
Federal Way, WA 98003
Phone
(253) 661-1700
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60201743 WA
Vascular & Interventional Radiology Physician 2085R0204X MD60201743 WA Primary

Addresses

Primary practice location

533 S. 336TH Street
Federal Way, WA 98003

Mailing address

533 S 336TH St
Federal Way, WA 98003-6329
Phone (253) 661-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20110803000263 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7517017395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of California, Davis School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2019 25TH Ave E
Seattle, WA 98112-3039
Phone (253) 661-1700

400 S 43Rd St
Valley Medical Center
Renton, WA 98055-5714
Phone (425) 656-5550

4174 Lind Ave SW
Renton, WA 98057-4973
Phone (425) 277-8346

519 24TH Ave CT NW
Gig Harbor, WA 98335-8068
Phone (253) 661-1700

Hospital & facility affiliations

  • Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015
  • Valley Medical Center Hospital, Renton, WA, CCN 500088
  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Radiology & Diagnostic Services, a Professional Services Corp Diagnostic Radiology CurrentSince Aug 1, 2011 Accepting new patients
Imaging Partners at Valley LLC Diagnostic Radiology Past Accepting new patients

Locations

1135 116th Ave NE
Ste 250
Bellevue, WA 98004
Phone (425) 454-2148

533 S 336th St
Ste C
Federal Way, WA 98003
Phone (253) 661-4755

4033 Talbot Rd S
Ste 470
Renton, WA 98055
Phone (425) 656-5062

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

4033 Talbot Rd S
Ste 360
Renton, WA 98055
Phone (425) 251-5255

Interoperability endpoints

  • Direct secure messaging: schao18225@direct.valleymed.org

Organizations & group practices 2

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 6

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1154522092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S 336TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036329",
            "telephone_number": "253-661-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S. 336TH STREET",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-661-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "SAMUEL",
        "middle_name": "CHU CHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60201743",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD60201743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.