Individual provider Active NPI

Diana Ochoa Chu, M.D.

  • Child & Adolescent Psychiatry Physician
  • Onamia, MN
National Provider Identifier
1780777615
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
64332 Issued in MN
Practice address
407 130TH Ave S
Onamia, MN 56359
Phone
(320) 532-4005
Fax
(320) 532-4898
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 64332 MN
Child & Adolescent Psychiatry Physician 2084P0804X 036082923 IL
Child & Adolescent Psychiatry Physician 2084P0804X 205-320 WI
Child & Adolescent Psychiatry Physician 2084P0804X PT15402 MN
Child & Adolescent Psychiatry Physician 2084P0804X 64332 MN Primary

Addresses

Primary practice location

407 130TH Ave S
Onamia, MN 56359

Mailing address

808 S Michigan Ave Apt 5201
Chicago, IL 60605-2660
Phone (312) 402-9796

Other practice location 1

333 N Michigan Ave Ste 1900
Chicago, IL 60601-3994
Phone (312) 757-6057

Other practice location 2

1111 28th St NE
Austin, MN 55912
Phone (507) 434-4368

Other practice location 3

1111 28th St NE
Austin, MN 55912
Phone (507) 434-4368

Other identifiers 1

IdentifierTypeStateIssuer
036082923MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64332MNMDPsychiatry Physician
036082923ILMDChild & Adolescent Psychiatry Physician
PT15402MNMDChild & Adolescent Psychiatry Physician
205-320WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients
Nexus Past Accepting new patients

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1780777615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S MICHIGAN AVE APT 5201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052660",
            "telephone_number": "312-402-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 130TH AVE S",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "56359",
            "telephone_number": "320-532-4005",
            "fax_number": "320-532-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Michigan Ave Ste 1900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606013994",
            "country_code": "US",
            "telephone_number": "312-757-6057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 28th St NE",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "MN",
            "postal_code": "55912",
            "country_code": "US",
            "telephone_number": "507-434-4368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 28th St NE",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "MN",
            "postal_code": "55912",
            "country_code": "US",
            "telephone_number": "507-434-4368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "DIANA",
        "middle_name": "OCHOA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "64332",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036082923",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "205-320",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "PT15402",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "64332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082923",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onamia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.