Chube2 Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01038347 Issued in KS

Legal business name

CHUBE2 PRIMARY CARE LLC

Doing business as

Chube2 Primary Care

Practice address

600 Grant St
Gary, IN 46402-6001

Phone

(219) 201-8178

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Crystal Hunt

Title

Billing Manager

Phone

(219) 201-8178

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chube2 Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Damaret Chube, M.D.

  • Legal Medicine
  • Gary, IN
  • NPI 1124024096
  Medicare reassignment NPD

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1174030605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 KILLARNEY DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001",
            "telephone_number": "219-201-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUBE2 PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-201-8178"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "01038347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003724508",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chube2 Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leelarani Chigurupati, RD
• Troy Childers
• Children With Greater Destinys
• Chube Medical Corporation
• David Damaret Chube, M.D.
• City of Gary Fire Department, EMS
• City of Gary Indiana
• Clark Nursing and Rehabilitation Center, LLC
• Cornelius Clark Jr.
• Marsha Clark, RN

• Family Medicine Physician in Gary, IN
• Providers in Gary, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.