NPIMap

Individual provider Active NPI

Philip Chu, MD

  • Internal Medicine Physician
  • Swansea, IL
National Provider Identifier
1396797841
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0360936321 Issued in IL
Practice address
4972 Benchmark Centre Dr Ste 400
Swansea, IL 62226-2070
Phone
(618) 726-5500
Fax
(618) 206-6281
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0360936321 IL Primary

Addresses

Primary practice location

4972 Benchmark Centre Dr Ste 400
Swansea, IL 62226-2070

Mailing address

4972 Benchmark Centre Dr Ste 400
Swansea, IL 62226-2070
Phone (618) 726-5500

Other identifiers 1

IdentifierTypeStateIssuer
0360936321MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20101028000278 IL Practitioner - Internal Medicine 2163616715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Medical Group LLCGroup PAC ID 7012981806, 2 clinicians

Practice addresses (Care Compare)

4972 Benchmark Centre Dr
Suite 400
Swansea, IL 62226-2070
Phone 6186323343108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.66 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
85.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0360936321ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Basso Family LLC CurrentSince Jul 25, 2023 Accepting new patients

Locations

331 Salem Pl
Ste 100
Fairview Hts, IL 62208
Phone (618) 578-8667

Interoperability endpoints

  • Direct secure messaging: philip.chu.1@12893.direct.athenahealth.com

Organizations & group practices 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1396797841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 BENCHMARK CENTRE DR STE 400",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262070",
            "telephone_number": "618-726-5500",
            "fax_number": "618-206-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 BENCHMARK CENTRE DR STE 400",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262070",
            "telephone_number": "618-726-5500",
            "fax_number": "618-206-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "0360936321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360936321",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.