Individual provider Active NPI

Charles Randall Chube, M.D.

  • Family Medicine Physician
  • Munster, IN
National Provider Identifier
1689670721
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01045841A Issued in IN
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200125320AMedicaidIN
01045841OtherINLICENSE NUMBER

Other names 1

  • Dr. Randall Chube Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618002476 IN Practitioner - Family Practice 9931410842 Reassigns benefits to 3 organizations

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
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians
Midwest Express Care, IncGroup PAC ID 5193957595, 31 clinicians
Nwi Urgent Care, LLCGroup PAC ID 7618142977, 45 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01045841AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC Family Medicine CurrentSince Sep 17, 2017 Accepting new patients
The Methodist Hospitals, Inc PastSince Sep 17, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.