NPIMap

Individual provider Active NPI

Franklin M Chu, MD

  • Urology Physician
  • San Bernardino, CA
National Provider Identifier
1700809753
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C395830 Issued in CA
Practice address
489E 21St St
San Bernardino, CA 92404-4816
Phone
(909) 882-2973
Fax
(909) 882-2681
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C395830 CA Primary

Addresses

Primary practice location

489E 21St St
San Bernardino, CA 92404-4816

Mailing address

489 E 21St St
San Bernardino, CA 92404-4816
Phone (909) 882-2973

Other identifiers 3

IdentifierTypeStateIssuer
00C395830MedicaidCA
340001502OtherCARAILROAD MEDICARE
00C395830OtherCABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080801000445 CA Practitioner - Urology 1557384740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin M Chu MD IncGroup PAC ID 7315978632, 7 clinicians

Practice addresses (Care Compare)

489 E 21St St
San Bernardino, CA 92404-4816
Phone (909) 882-2973

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39583CAMDProsthodontist
C395830CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin M Chu MD Inc CurrentSince Jan 1, 2003 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

489 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2973

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: franklinchu@sburo.allscriptsdirect.net

Organizations & group practices 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1700809753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044816",
            "telephone_number": "909-882-2973",
            "fax_number": "909-882-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044816",
            "telephone_number": "909-882-2973",
            "fax_number": "909-882-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "FRANKLIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C395830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C395830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340001502",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00C395830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.