Individual provider Active NPI

Tianrae Chu

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1588240337
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
318956 Issued in NY
Practice address
322 Lake Ave
Rochester, NY 14608-1162
Phone
(585) 254-6480
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 318956 NY Primary

Addresses

Primary practice location

322 Lake Ave
Rochester, NY 14608-1162

Mailing address

777 Clinton Ave S
Rochester, NY 14620-1448
Phone (585) 279-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240509002112 NY Practitioner - Family Practice 9133523210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, shared by 4 NPIs, 403 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 341-6776

777 Clinton Ave S
Rochester, NY 14620-1448
Phone (585) 279-4680

82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318956NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester CurrentSince Jun 25, 2024 Accepting new patients
Anthony L. Jordan Health Corporation CurrentSince Sep 9, 2025 Accepting new patients
Anthony L. Jordan Health Corporation Multi-Specialty Current Accepting new patients
Highland Hospital of Rochester CurrentSince Nov 1, 2024 Accepting new patients
Highland Hospital of Rochester Multi-Specialty Current Accepting new patients
Highland Hospital of Rochester Multi-Specialty CurrentSince Jun 25, 2024 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

322 Lake Ave
Rochester, NY 14608
Phone (585) 254-6480

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

601 Elmwood Ave
#320
Rochester, NY 14642

777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790

777 Clinton Ave S
#37
Rochester, NY 14620
Phone (585) 279-4763

82 Holland St
Rochester, NY 14605
Phone (585) 423-5800

214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

Interoperability endpoints

  • Direct secure messaging: aandrzejewski229180@direct.urmc.rochester.edu

Organizations & group practices 6

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 3

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1588240337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201448",
            "telephone_number": "585-279-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081162",
            "telephone_number": "585-254-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "TIANRAE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "318956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.