Active NPI
Charles Randall Chube, M.D.
- Family Medicine Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01045841A
- Practice address
- 9339 Calumet Ave Ste a
Munster, IN 46321-2879 - Phone
- (219) 513-8275
- Fax
- (219) 595-5436
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01045841A | IN | Primary |
Addresses
Primary practice location
9339 Calumet Ave Ste a
Munster, IN 46321-2879
Mailing address
8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-8275
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200125320A | Medicaid | IN | |
| 01045841 | Other | IN | LICENSE NUMBER |
Other names 1
- Dr. Randall Chube
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 5TH Ave
Hammond, IN 46320-1004
Phone (219) 473-0722
129 E 107TH Ave
Crown Point, IN 46307-6517
Phone (219) 662-4134
1500 Indianapolis Blvd
Schererville, IN 46375-1316
Phone (219) 440-7373
1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone (219) 922-2535
31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800
3939 Franklin St
Michigan City, IN 46360-7397
Phone (219) 878-5850
5043 E 81St Ave
Merrillville, IN 46410-5912
Phone (219) 554-3290
5521 W Lincoln Hwy
Suite 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362
6097 Broadway
Merrillville, IN 46410-2619
Phone (219) 758-5152
6131 US Hwy 6
Portage, IN 46368-5058
Phone (219) 841-9788
7890 E Ridge Rd
Hobart, IN 46342-2468
Phone (219) 788-1237
8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000
875 Joliet St
Dyer, IN 46311-1920
Phone (219) 440-7340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01045841A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwi Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Past | Accepting new patients |
Locations
31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800
8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000
Interoperability endpoints
- charles.chube.1@24966.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Hammond, IN
- NPI 1629502810
-
- Urgent Care Clinic/Center
- Schererville, IN
- NPI 1942642848
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689670721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211701",
"telephone_number": "219-513-8275",
"fax_number": "219-595-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9339 CALUMET AVE STE A",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212879",
"telephone_number": "219-513-8275",
"fax_number": "219-595-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUBE",
"first_name": "CHARLES",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01045841A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200125320A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "01045841",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RANDALL",
"last_name": "CHUBE",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.