NPIMap

Individual provider Active NPI

Ryan Chua Chua, M.D.

  • Pulmonary Disease Physician
  • Leominster, MA
National Provider Identifier
1659534501
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
307929 Issued in MA
Practice address
100 Hospital Rd
Suite 2a
Leominster, MA 01453-2253
Phone
(978) 466-2692
NPI assigned
Jul 9, 2008
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 237513 MA
Pulmonary Disease Physician 207RP1001X 307929 MA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 254196 MA

Addresses

Primary practice location

100 Hospital Rd
Suite 2a
Leominster, MA 01453-2253

Mailing address

PO Box 726
Leominster, MA 01453-0726
Phone (978) 466-2692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000911 MA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0042454340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Lung and Allergy PCGroup PAC ID 5698830347, 10 clinicians

Practice addresses (Care Compare)

159 Union St
Suite 102
Marlborough, MA 01752-1274
Phone (508) 486-5733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237513MAMDInternal Medicine Physician
254196MAMDCritical Care Medicine (Internal Medicine) Physician
307929MAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Lung & Allergy, PC. Critical Care Medicine CurrentSince Nov 1, 2013 Accepting new patients
Umass Memorial Healthalliance Clinton Hospital Inc Past Accepting new patients
Mass Lung & Allergy, P.C. Past Accepting new patients

Locations

100 Erdman Way
Ste 2S
Leominster, MA 01453
Phone (978) 696-3762

100 Hospital Rd
Ste 2A
Leominster, MA 01453
Phone (978) 466-2692

159 Union St
Ste 102
Marlborough, MA 01752
Phone (508) 481-0610

Interoperability endpoints

  • Direct secure messaging: ryan.chua@mlap.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1659534501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014530726",
            "telephone_number": "978-466-2692",
            "fax_number": "978-466-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 2A",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-466-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "RYAN",
        "middle_name": "CHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "237513",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "307929",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "254196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.