Individual provider Active NPI

George Chu, M.D.

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1467562678
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0000018367 Issued in TN
Practice address
7550 Wolf River Blvd
Suite 102
Germantown, TN 38138-1780
Phone
(901) 767-5000
Fax
(901) 767-6000
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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 0000018367 TN Primary

Addresses

Primary practice location

7550 Wolf River Blvd
Suite 102
Germantown, TN 38138-1780

Mailing address

7550 Wolf River Blvd
Suite 102
Germantown, TN 38138-1780
Phone (901) 767-5000

Other identifiers 3

IdentifierTypeStateIssuer
127539OtherTNBLUE CROSS/BLUE SHIELD TN
00112509MedicaidTN
123901001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100713000017 TN Practitioner - Internal Medicine 2062544976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Internal Medicine Specialists, P.C.Group PAC ID 4486783883, 13 clinicians

Practice addresses (Care Compare)

7550 Wolf River Blvd
Suite 102
Germantown, TN 38138-1779
Phone (901) 767-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000018367TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Internal Medicine Specialists, P.C. Internal Medicine CurrentSince Aug 1, 1991 Accepting new patients

Locations

7550 Wolf River Blvd
Ste 102
Germantown, TN 38138
Phone (901) 767-5000

Interoperability endpoints

  • Direct secure messaging: gchu11416@direct.bmhcc.org
  • Direct secure messaging: gchu26254@mlh.direct-ci.com

Organizations & group practices 1

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 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1467562678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381780",
            "telephone_number": "901-767-5000",
            "fax_number": "901-767-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381780",
            "telephone_number": "901-767-5000",
            "fax_number": "901-767-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "0000018367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD TN",
            "identifier": "127539",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112509",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123901001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.