Individual provider Active NPI

Cassidy Peyton Chu, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1316662026
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12222 N Central Expy Ste 420
Dallas, TX 75243-3825
Phone
(972) 985-2797
Fax
(972) 985-4797
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

12222 N Central Expy Ste 420
Dallas, TX 75243-3825

Mailing address

12222 N Central Expy Ste 420
Dallas, TX 75243-3825
Phone (972) 985-2797

Other practice location 1

1600 Coit Rd Ste 104
Plano, TX 75075-6171
Phone (972) 985-2797

Other practice location 2

5575 Frisco Square Blvd Ste 240
Frisco, TX 75034-3313
Phone (972) 985-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221125000221 TX Practitioner - Physician Assistant 4688042534
I20241028001796 WA Practitioner - Physician Assistant 4688042534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Arkansas College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

316 Martin Luther King Jr Way
Tacoma, WA 98405-4252
Phone (253) 403-5200

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 7, 2024 Accepting new patients
Multicare Health System CurrentSince Oct 7, 2024 Accepting new patients
Elite Orthopaedics of Irving PLLC CurrentSince Oct 18, 2022 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients
Cardiology Specialists of North Texas, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

12222 N Central Expy
Ste 420
Dallas, TX 75243
Phone (214) 308-0245

5575 Frisco Square Blvd
Ste 240
Frisco, TX 75034

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4351 Booth Calloway Rd
Ste 303
North Richland Hills, TX 76180
Phone (214) 496-9701

1600 Coit Rd
Ste 104
Plano, TX 75075
Phone (972) 566-5564

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1316662026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433825",
            "telephone_number": "972-985-2797",
            "fax_number": "972-985-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433825",
            "telephone_number": "972-985-2797",
            "fax_number": "972-985-4797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Coit Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756171",
            "country_code": "US",
            "telephone_number": "972-985-2797",
            "fax_number": "972-985-4797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 Frisco Square Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343313",
            "country_code": "US",
            "telephone_number": "972-985-2797",
            "fax_number": "972-985-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "CASSIDY",
        "middle_name": "PEYTON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.