Active NPI
Chia-Ling Phuah, MD
- Neurocritical Care Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 71311
- Practice address
- 2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434 - Phone
- (602) 406-6262
- Fax
- (602) 406-6261
- NPI assigned
- Jun 9, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2016006834 | MO | |
| Neurology Physician | 2084N0400X | 2016006834 | MO | |
| Neurocritical Care Physician | 2084A2900X | 71311 | AZ | Primary |
Addresses
Primary practice location
2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434
Mailing address
2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434
Phone (602) 406-6262
Other practice location 1
1 Barnes Jewish Hospital Plz
Div Neurology Critical Care Medicine
Saint Louis, MO 63110-1003
Phone (314) 362-1408
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200033000 | Medicaid | MO | |
| 207999 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231222001680 | AZ | Practitioner - Neurology | 6800057035 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sjhmc Physician Services
Practice addresses (Care Compare)
500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017
Hospital & facility affiliations
- St Josephs Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| St. Joseph'S Outpatient Surgery Center, LLC | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients |
Locations
2910 N 3rd Ave
Ste 470
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
Ste 407
Phoenix, AZ 85013
2910 N 3rd Ave
Ste 430
Phoenix, AZ 85013
Phone (602) 406-7421
240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
#470
Phoenix, AZ 85013
Phone (602) 406-6262
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
File 56765
Los Angeles, CA 90074
Organizations & group practices 3
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.
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1306843222
Hospital & facility affiliations 4
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": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1639338114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
}
],
"practiceLocations": [
{
"address_1": "1 Barnes Jewish Hospital Plz",
"address_2": "Div Neurology Critical Care Medicine",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "314-362-1408",
"fax_number": "314-362-6033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHUAH",
"first_name": "CHIA-LING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2016006834",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2016006834",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "AZ",
"license": "71311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200033000",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207999",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.