Peter Yen Chu, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MDR3E86 Issued in MO

Practice address

1010 Carondelet Dr
Suite 114
Kansas City, MO 64114-4821

Phone

(816) 942-8250

Fax

(816) 942-7206

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1447252283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 114",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-942-8250",
            "fax_number": "816-942-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 114",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144821",
            "telephone_number": "816-942-8250",
            "fax_number": "816-942-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "PETER",
        "middle_name": "YEN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "MDR3E86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202045316",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123490B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher T. Lippold, DDS, LLC
• Patrick Dumba Christopher, DDS
• Shelby Christopherson
• Angela Chu
• Justin Chu
• Robert Gary Chuinard, M.D.
• Glory I. Chukwusom, APRN
• Maren Chung, PHARMD
• Raoul Chun Yeung Chung, MD
• Stephanie N Chura, PA-C

• Surgery Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.