Individual provider Active NPI

Fun CHI Tu, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1497927610
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14948 Issued in NV
Practice address
6625 W Sahara Ave Ste 1
Las Vegas, NV 89146-0856
Phone
(725) 202-3439
Fax
(725) 214-4636
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A118249 CA
Hospitalist Physician 208M00000X 14948 NV
Internal Medicine Physician 207R00000X 14948 NV Primary

Addresses

Primary practice location

6625 W Sahara Ave Ste 1
Las Vegas, NV 89146-0856

Mailing address

6625 W Sahara Ave Ste 1
Las Vegas, NV 89146-0856
Phone (725) 202-3439

Other identifiers 2

IdentifierTypeStateIssuer
1497927610MedicaidNV
14948OtherNVSTATE LICENSE

Other names 1

  • Dr. Fun-CHI Tu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20140115000583 NV Practitioner - Internal Medicine 7012178270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6625 W Sahara Ave
Suite 1
Las Vegas, NV 89146-0856
Phone (725) 202-3439

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14948NVMDPharmacist
A118249CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allmind Care LLC Family Medicine CurrentSince Mar 29, 2021 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Nov 4, 2013 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

6625 W Sahara Ave
Ste 1
Las Vegas, NV 89146
Phone (725) 202-3439

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1497927610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 W SAHARA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460856",
            "telephone_number": "725-202-3439",
            "fax_number": "725-214-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 W SAHARA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460856",
            "telephone_number": "725-202-3439",
            "fax_number": "725-214-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "FUN CHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118249",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "14948",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497927610",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "14948",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FUN-CHI",
            "last_name": "TU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.