NPIMap

Individual provider Active NPI

Vincent K Chu, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Lewis Center, OH
National Provider Identifier
1366481822
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
34.004211 Issued in OH
Practice address
3481 Foxcroft Dr
Lewis Center, OH 43035-9341
Phone
(614) 975-3965
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34.004211 OH Primary

Addresses

Primary practice location

3481 Foxcroft Dr
Lewis Center, OH 43035-9341

Mailing address

3481 Foxcroft Dr
Lewis Center, OH 43035-9341
Phone (614) 975-3965

Other identifiers 1

IdentifierTypeStateIssuer
0719173MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vincent.chudo.p24@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060627000084 OH Practitioner - Geriatric MedicinePractitioner - Family Practice 3577526409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hongming Healthcare Consultants LLC 2 clinicians

Practice addresses (Care Compare)

6100 E Main St
Suite 112
Columbus, OH 43213-3399
Phone (614) 948-5009

Hospital & facility affiliations

  • Southern Care Youngstown Hospice, Youngstown, OH, CCN 361617
  • Gentiva I Hospice, Columbus, OH, CCN 361573
  • Bella Care Hospice Hospice, Westerville, OH, CCN 361646
  • Avalon Hospice Hospice, Cincinnati, OH, CCN 361704
  • Heartland Hospice (Cincinnati) Hospice, Cincinnati, OH, CCN 361560
  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325
  • McNaughten Pointe Nursing and Rehab Nursing home, Columbus, OH, CCN 365195
  • Darby Glenn Nursing and Rehabilitation Center Nursing home, Hilliard, OH, CCN 366387
  • Country View of Sunbury Nursing home, Sunbury, OH, CCN 365776
  • Majestic Care of Columbus LLC Nursing home, Columbus, OH, CCN 365754
  • Mt Airy Gardens Rehabilitation and Nursing Center Nursing home, Cincinnati, OH, CCN 365293

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hongming Healthcare Consultants LLC Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Yorkland Health Care, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Majestic Care of Columbus LLC Past Accepting new patients
Hilliard Health & Rehabilitation Inc Past Accepting new patients
Mt. Airy Gardens Rehabilitation and Care Center LLC Past Accepting new patients
Morning View Delaware, Inc. Past Accepting new patients

Locations

6100 E Main St
Ste 112
Columbus, OH 43213
Phone (614) 759-6200

Interoperability endpoints

  • Direct secure messaging: vincent.chudo.p24@direct.ahni.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Country View of SunburySunbury, OH, CCN 365776 Skilled nursing facility Adp of the SNF Feb 10, 2003
McNaughten PointeColumbus, OH, CCN 365195 Skilled nursing facility Adp of the SNF Jun 1, 2018
Darby Glenn Nursing & Rehabilitation CenterHilliard, OH, CCN 366387 Skilled nursing facility Adp of the SNF Aug 9, 2010
Majestic Care of Columbus LLCColumbus, OH, CCN 365754 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Gentiva IColumbus, OH, CCN 361573 Hospice W-2 Managing Employee Oct 1, 2007
Gentiva IICincinnati, OH, CCN 361704 Hospice Contracted Managing Employee Oct 24, 2024

Owned or controlled facilities with NPI records 7

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

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1366481822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 FOXCROFT DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359341",
            "telephone_number": "614-975-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 FOXCROFT DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359341",
            "telephone_number": "614-975-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "VINCENT",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34.004211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719173",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vincent.chudo.p24@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "85 Commerce Park Dr",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430828348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.