Active NPI
Megan Chiu, PA-C
- Physician Assistant
- Saint Paul, MN
National Provider Identifier
1407084270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12458
- Practice address
- 1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109 - Phone
- (651) 241-9700
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002019 | IA | |
| Physician Assistant | 363A00000X | 12458 | MN | Primary |
Addresses
Primary practice location
1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
945 N 12th St
Milwaukee, WI 53233-1305
Phone (414) 219-2000
Other practice location 2
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002019 | IA | MD | Physician Assistant |
| 12458 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1407084270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 BANDANA BLVD E STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085109",
"telephone_number": "651-241-9700"
}
],
"practiceLocations": [
{
"address_1": "945 N 12th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532331305",
"country_code": "US",
"telephone_number": "414-219-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554071321",
"country_code": "US",
"telephone_number": "612-262-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIU",
"first_name": "MEGAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002019",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.