Individual provider Active NPI

David C Chua, MD

  • Gastroenterology Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1346241585
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036069933 Issued in IL
Practice address
1S280 Summit Ave
Court a
Oakbrook Terrace, IL 60181-3984
Phone
(630) 889-9889
Fax
(630) 889-8977
NPI assigned
Aug 10, 2005
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036069933 IL Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
036069933MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100306000276 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 5092894857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David C Chua MDSC LTDGroup PAC ID 9032298880, 2 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians

Practice addresses (Care Compare)

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

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.8
Promoting interoperability
95
Improvement activities
40
Cost
79.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy98
Upper gastrointestinal (GI) endoscopy for acid reflux89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036069933ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David C Chua, MD SC LTD Gastroenterology CurrentSince Jan 1, 1998 Accepting new patients
Humboldt Park Health CurrentSince May 15, 2020 Accepting new patients
PCC Community Wellness Center PastSince May 15, 2020 Accepting new patients
Elite Anesthesia Group Inc. PastSince May 1, 2013 Accepting new patients
Illinois Gastroenterology and Hepatology Gastroenterology PastSince Sep 26, 2011 Accepting new patients
Anesthesia Advocates, PC Past Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1044 N Mozart St
Ste 203
Chicago, IL 60622
Phone (773) 292-8227

1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498

2413 S State St
Chicago, IL 60616
Phone (312) 225-6800

3740 W North Ave
Chicago, IL 60647
Phone (773) 687-8536

1S280 Summit Ave
#A
Oakbrook Terrace, IL 60181

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

Organizations & group practices 10

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 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1346241585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S280 SUMMIT AVE",
            "address_2": "COURT 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": "COURT A",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813984",
            "telephone_number": "630-889-9889",
            "fax_number": "630-889-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036069933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069933",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.