Organization Active NPI

Robert a. Chua, MD Inc

  • Internal Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1275731002
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01052731A Issued in IN
Legal business name
ROBERT A. CHUA, MD INC
Practice address
501 E Hospital LN
Suite 103
Terre Haute, IN 47802-4230
Phone
(812) 234-0293
Fax
(812) 235-8908
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Dr. Robert A Chua, MDNPI 1184725442
Title
President
Phone
(812) 234-0293

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01052731A IN Primary

Addresses

Primary practice location

501 E Hospital LN
Suite 103
Terre Haute, IN 47802-4230

Mailing address

501 E Hospital LN
Suite 103
Terre Haute, IN 47802-4230
Phone (812) 234-0293

Other identifiers 1

IdentifierTypeStateIssuer
200273740BMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070707000054 IN Part B Supplier - Clinic/Group Practice 6204936149 Receives reassigned benefits from 1 practitioner
Practice locations: Terre Haute, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1069959Robert a Chua MD501 E Hospital LN RM 103, Terre Haute, IN 47802Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory

Locations

501 E Hospital Ln
Ste 103
Terre Haute, IN 47802
Phone (812) 232-5518

501 E Saint Anthony Dr
Terre Haute, IN 47802
Phone (812) 235-5656

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1275731002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E HOSPITAL LN",
            "address_2": "SUITE 103",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024230",
            "telephone_number": "812-234-0293",
            "fax_number": "812-235-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HOSPITAL LN",
            "address_2": "SUITE 103",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024230",
            "telephone_number": "812-234-0293",
            "fax_number": "812-235-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. CHUA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-234-0293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01052731A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200273740B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

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

Verify at the official NPI Registry.