Individual provider Active NPI

Thomas Chu, MD

  • Diagnostic Radiology Physician
  • Miami Beach, FL
National Provider Identifier
1174961916
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 128153 Issued in FL
Practice address
4300 Alton Rd
Department of Radiology
Miami Beach, FL 33140-2948
Phone
(305) 535-7901
Fax
(305) 674-3919
NPI assigned
Jun 13, 2013
Last updated
May 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TRN20603 FL
Student in an Organized Health Care Education/Training Program 390200000X TRN20603 FL
Diagnostic Radiology Physician 2085R0202X ME 128153 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Department of Radiology
Miami Beach, FL 33140-2948

Mailing address

4300 Alton Rd
Department of Radiology
Miami Beach, FL 33140-2948
Phone (305) 535-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190510001921 FL Practitioner - Diagnostic Radiology 5698020758 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 128153FLMDDiagnostic Radiology Physician
TRN20603FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Hollywood Inc Diagnostic Radiology CurrentSince Mar 30, 2020 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Feb 1, 2019 Accepting new patients
National Nuclear Centers, Inc CurrentSince Dec 5, 2020 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Jun 13, 2018 Accepting new patients

Locations

20803 Biscayne Blvd
#3T
Aventura, FL 33180
Phone (786) 668-2525

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

4515 Wiles Rd
Ste 101
Coconut Creek, FL 33073
Phone (954) 686-2559

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

4224 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 966-3600

20803 Biscayne Blvd
Ste 103
Miami, FL 33180
Phone (786) 665-8008

300 W 41st St
Ste 201
Miami Beach, FL 33140
Phone (305) 298-1685

310 W 41st St
Miami Beach, FL 33140
Phone (305) 532-7460

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1174961916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-535-7901",
            "fax_number": "305-674-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-535-7901",
            "fax_number": "305-674-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "TRN20603",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN20603",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 128153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.