Individual provider Active NPI

PO Cheng Chu, MD

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1720236813
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
257725 Issued in NY
Practice address
2315 86TH St
Brooklyn, NY 11214-4309
Phone
(718) 333-0093
Fax
(718) 333-0073
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 257725 NY Primary

Addresses

Primary practice location

2315 86TH St
Brooklyn, NY 11214-4309

Mailing address

PO Box 190303
Brooklyn, NY 11219-0303
Phone (718) 666-9323

Other identifiers 1

IdentifierTypeStateIssuer
03969248MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150114001842 NY Practitioner - Gastroenterology 1052635349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Newtown Gastroenterology PCGroup PAC ID 4587044375, 12 clinicians

Practice addresses (Care Compare)

761 55TH St
FL 2
Brooklyn, NY 11220-3210
Phone (646) 609-6138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257725NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
New York Medical and Diagnostic Services PC CurrentSince May 1, 2017 Accepting new patients
Newtown Gastroenterology PC CurrentSince Jan 1, 2024 Accepting new patients
MK Anesthesia Services PLLC PastSince Jan 1, 2024 Accepting new patients
NJ-Ny Gastroenterology Associate Specialist Past Accepting new patients

Locations

2315 86th St
#1
Brooklyn, NY 11214
Phone (718) 333-0093

2315 86th St
Brooklyn, NY 11214
Phone (718) 333-0093

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: pochengchu@mai.allscriptsdirect.net

Organizations & group practices 5

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1720236813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190303",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112190303",
            "telephone_number": "718-666-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144309",
            "telephone_number": "718-333-0093",
            "fax_number": "718-333-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "PO CHENG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "257725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03969248",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.