Individual provider Active NPI

Thomas Paul Chu, M.D.

  • MOHS-Micrographic Surgery Physician
  • Cordova, TN
National Provider Identifier
1851369391
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD0000016690 Issued in TN
Practice address
520 Trinity Creek CV
Cordova, TN 38018-2279
Phone
(901) 755-2511
Fax
(901) 758-1965
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD0000016690 TN Primary

Addresses

Primary practice location

520 Trinity Creek CV
Cordova, TN 38018-2279

Mailing address

520 Trinity Creek CV
Cordova, TN 38018-2279
Phone (901) 755-2511

Other identifiers 3

IdentifierTypeStateIssuer
4263550OtherTNAETNA PROVIDER #
0158276OtherTNBC/BS PROVIDER #
2687986OtherTNCIGNA PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111123000517 TN Practitioner - Dermatology 8224202544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 Trinity Creek Cove
Cordova, TN 38018
Phone (901) 755-2511

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision83
Removal of tissue1-10
Removal of skin lesions469
Removal of skin cancer238
Skin biopsy129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000016690TNMDMOHS-Micrographic Surgery Physician
16690TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P. Chu, M.D., P.C. Mohs-Micrographic Surgery CurrentSince Feb 1, 1993 Accepting new patients

Locations

520 Trinity Creek Cv
Cordova, TN 38018
Phone (901) 755-2511

Organizations & group practices 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1851369391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TRINITY CREEK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182279",
            "telephone_number": "901-755-2511",
            "fax_number": "901-758-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TRINITY CREEK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182279",
            "telephone_number": "901-755-2511",
            "fax_number": "901-758-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "MD0000016690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4263550",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "0158276",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "2687986",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.