Active NPI
Nicholas Chuck, PA
- Physician Assistant
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007409
- Practice address
- 850 Enterprise Pkwy Ste 2200
Hampton, VA 23666-6252 - Phone
- (757) 251-2170
- Fax
- (757) 251-2185
- NPI assigned
- Aug 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007409 | VA | Primary |
Addresses
Primary practice location
850 Enterprise Pkwy Ste 2200
Hampton, VA 23666-6252
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
191 Fox Hill Rd
Hampton, VA 23669-2360
Phone (757) 850-1311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hampton | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
850 Enterprise Pkwy
Suite 2000
Hampton, VA 23666-6252
Phone (757) 599-6333
856 J Clyde Morris Blvd
Newport News, VA 23601-1318
856 J Clyde Morris Blvd a
Newport News, VA 23601-1318
Hospital & facility affiliations
- Riverside Home Health
- Riverside Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients |
Locations
850 Enterprise Pkwy
Ste 2200
Hampton, VA 23666
Phone (757) 251-2170
191 Fox Hill Rd
Hampton, VA 23669
Phone (757) 850-1311
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Gastroenterology Physician
- Smithfield, VA
- NPI 1467478834
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport News, VA
- NPI 1801891023
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1891340410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 ENTERPRISE PKWY STE 2200",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666252",
"telephone_number": "757-251-2170",
"fax_number": "757-251-2185"
}
],
"practiceLocations": [
{
"address_1": "191 Fox Hill Rd",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236692360",
"country_code": "US",
"telephone_number": "757-850-1311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUCK",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hampton",
"affiliation": "N",
"endpointDescription": "EPIC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "191 Fox Hill Rd",
"city": "Hampton",
"state": "VA",
"country_code": "US",
"postal_code": "236692360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.