NPIMap

Organization Active NPI

David C Chua, MD SC LTD

Doing business as Summit Digestive and Liver Disease Specialists

  • Gastroenterology Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1225210214
Registry record updated Jul 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DAVID C CHUA, MD SC LTD
Doing business as
Summit Digestive and Liver Disease Specialists
Practice address
1S280 Summit Ave
CT a
Oakbrook Terrace, IL 60181-3984
Phone
(630) 889-9889
Fax
(630) 889-8977
NPI assigned
Nov 30, 2007
Last updated
Jul 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2011

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

Authorized official

Name
David Chua, MDNPI 1346241585
Title
President
Phone
(630) 889-9889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1S280 Summit Ave
CT a
Oakbrook Terrace, IL 60181-3984

Mailing address

1S280 Summit Ave
CT a
Oakbrook Terrace, IL 60181-3984
Phone (630) 889-9889

Other identifiers 1

IdentifierTypeStateIssuer
036069933MedicaidIL

Other names 1

  • Summit Digestive and Liver Disease Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000433 IL Part B Supplier - Clinic/Group Practice 9032298880 Receives reassigned benefits from 6 practitioners
Practice locations: Chicago, IL; Oakbrook Terrace, IL

National Provider Directory

National Provider Directory

Locations

1S280 Summit Ave
#A
Oakbrook Terrace, IL 60181

1S280 Summit Ave
Ste A1
Oakbrook Terrace, IL 60181
Phone (773) 320-7307

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311379200000",
    "number": "1225210214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S280 SUMMIT AVE",
            "address_2": "CT A",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813984",
            "telephone_number": "630-889-9889",
            "fax_number": "630-889-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S280 SUMMIT AVE",
            "address_2": "CT A",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813984",
            "telephone_number": "630-889-9889",
            "fax_number": "630-889-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C CHUA, MD SC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2011-07-23",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-889-9889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069933",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Digestive and Liver Disease Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2011; 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.