Eireen H Chua, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P2215 Issued in TX

Practice address

5945 Saratoga Blvd
Suite C
Corpus Christi, TX 78414-4225

Phone

(361) 853-3222

Fax

(361) 980-3619

NPI assigned

Mar 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13003/brand/1/csg/1/fhir/r4

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.

• Abc Pediatrics, P.a.

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1710034962
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1902170004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SO. ALAMEDA",
            "address_2": "SUITE 303",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-853-3222",
            "fax_number": "361-561-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 SARATOGA BLVD",
            "address_2": "SUITE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144225",
            "telephone_number": "361-853-3222",
            "fax_number": "361-980-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "EIREEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P2215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304514801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christus Spohn Health System Corporation
• Christus Spohn Hospital Corpus Christi-Memorial
• Christus Trinity Clinic
• Christus Trinity Clinic
• Christus Trinity Clinic
• Cord Joseph Church, MD
• Ralph Allen Cicora, D.O.
• Cima Hospice of Corpus Christi, LLC
• Cinda Solutions, Inc.
• C A Cintron, M.D.

• Pediatrics Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.