Individual provider Active NPI

Tam Chu, DO

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1881905420
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
006206 Issued in AZ
Practice address
8700 E Via de Ventura Ste 130
Scottsdale, AZ 85258-4515
Phone
(480) 970-0300
Fax
(480) 556-1780
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 006206 AZ Primary

Addresses

Primary practice location

8700 E Via de Ventura Ste 130
Scottsdale, AZ 85258-4515

Mailing address

8700 E Via de Ventura Ste 130
Scottsdale, AZ 85258-4515
Phone (480) 970-0300

Other identifiers 1

IdentifierTypeStateIssuer
6206OtherAZMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130906000780 AZ Practitioner - Internal Medicine 3274776414 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006206AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Aug 1, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Aug 1, 2016 Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients

Locations

6036 N 19th Ave
Ste 402
Phoenix, AZ 85015
Phone (602) 249-0115

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1881905420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584515",
            "telephone_number": "480-970-0300",
            "fax_number": "480-556-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584515",
            "telephone_number": "480-970-0300",
            "fax_number": "480-556-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "TAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "006206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "6206",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.