NPIMap

Individual provider Active NPI

Catherine M. Chua, D.O.

  • Family Medicine Physician
  • Elkins, WV
National Provider Identifier
1295726685
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1965 Issued in WV
Practice address
812 Gorman Ave
Elkins, WV 26241-3181
Phone
(304) 637-0433
Fax
(304) 637-0435
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1965 WV Primary

Addresses

Primary practice location

812 Gorman Ave
Elkins, WV 26241-3181

Mailing address

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 637-3894

Other identifiers 1

IdentifierTypeStateIssuer
1842049000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000178 WV Practitioner - Family Practice 0244246262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3366

Hospital & facility affiliations

  • West Virginia Caring Hospice, Arthurdale, WV, CCN 511504
  • Hospice of Barbour County Hospice, Elkins, WV, CCN 511514
  • Davis Medical Center Hospital, Elkins, WV, CCN 510030
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Vandalia Health Broaddus Hospital Hospital, Philippi, WV, CCN 511300
  • Elkins Rehabilitation & Care Center Nursing home, Elkins, WV, CCN 515025
  • Nella'S at Autumn Lake Healthcare Nursing home, Elkins, WV, CCN 515196
  • Autumn Lake Healthcare at Crystal Springs Nursing home, Elkins, WV, CCN 515197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
852WVMDPsychologist
1965WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broaddus Hospital Association, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Davis Memorial Hospital CurrentSince Dec 15, 2013 Accepting new patients
Davis Memorial Hospital CurrentSince Dec 15, 2013 Accepting new patients
1221 Waugh Chapel Opco LLC Past Accepting new patients
200 Whitman Avenue Opco LLC PastSince Feb 1, 2024 Accepting new patients
499 Ferguson Road Opco LLC Past Accepting new patients
Chua Family Practice, PLLC Family Medicine PastSince May 1, 2003 Accepting new patients
Elkins Regional Convalescent Center Past Accepting new patients

Locations

11 N Locust St
Buckhannon, WV 26201
Phone (304) 472-1600

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

3 Healthcare Dr
Philippi, WV 26416
Phone (304) 457-1522

Interoperability endpoints

  • Direct secure messaging: catherine.chua.p1@direct.davismedicalcenter.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elkins Rehabilitation and Care CenterElkins, WV, CCN 515025 Skilled nursing facility Adp of the SNF Mar 5, 2026
Nella'S at Autumn Lake HealthcareElkins, WV, CCN 515196 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2024
Autumn Lake Healthcare at Crystal SpringsElkins, WV, CCN 515197 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 10

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1295726685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-637-3894",
            "fax_number": "304-637-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-637-0433",
            "fax_number": "304-637-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "CATHERINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842049000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.