Thomas Waitao Chu, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

280101 Issued in NY

Practice address

875 Ellicott St
CTRC RM 6080
Buffalo, NY 14203-1070

Phone

(716) 645-8990

NPI assigned

Oct 1, 2015

Last updated

Oct 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Texas a & M University System, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pariser Dermatology Specialists LTDGroup PAC ID 7113902925, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
• Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomaschu@pdsltd.allscriptsdirect.net

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.

• Pariser Dermatology Specialists LTD

  • Dermatology Physician
  • Norfolk, VA
  • NPI 1417047952
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors' Hospital of Williamsburg

  dba Riverside Doctors Hospital Williamsburg

  • General Acute Care Hospital
  • Williamsburg, VA
  • NPI 1275893307
  Care Compare affiliation
• Riverside Hospital Inc

  dba Riverside Regional Medical Center

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1669842787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ELLICOTT ST",
            "address_2": "CTRC RM 6080",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031070",
            "telephone_number": "716-645-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ELLICOTT ST",
            "address_2": "CTRC RM 6080",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031070",
            "telephone_number": "716-645-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "THOMAS",
        "middle_name": "WAITAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "280101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Chrzanowski, CCC-SLP
• CHS - Sister's of Charity Hospital - Main Street Campus
• CHS N.Y. Medical P.C. (Goodlife Health Center)
• CHS Neuroscience Group
• Julie Chu
• Ashley Marie Chudy, MASTERS OF ARTS
• Max Chudy III, MD
• James A Chue, MD
• Caitlin Chunco
• Melissa Churak, PA-C

• Dermatology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.

Verify at the official NPI Registry.