NPIMap

Individual provider Active NPI

Cherrie C Chua, MD

  • Pediatric Adolescent Medicine Physician
  • Westfield, MA
National Provider Identifier
1902806813
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
215726 Issued in MA
Practice address
65 Springfield Rd
Westfield Pediatrics
Westfield, MA 01085-1855
Phone
(413) 562-8330
Fax
(413) 562-3430
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 215726 MA Primary

Addresses

Primary practice location

65 Springfield Rd
Westfield Pediatrics
Westfield, MA 01085-1855

Mailing address

65 Springfield Rd
Westfield Pediatrics
Westfield, MA 01085-1855
Phone (413) 562-8330

Other identifiers 18

IdentifierTypeStateIssuer
2000270OtherMA MEDICAID - PCC
215726OtherCONNECTICARE OF MA
043202198OtherFIRST HEALTH
043202198OtherBEACH STREET
J25781OtherHMO BLUE
2000270MedicaidMA
4278616OtherCIGNA
043202198OtherGREAT WEST HEALTH PLAN
043202198OtherHMC - PPO
J25781OtherMABLUE CROSS BLUE SHEILD
043202198OtherCBA
043202198OtherCONSOLIDATED HEALTH PLAN
043202198OtherHEALTH CARE VALUE MANAGEM
0000000024681OtherBOSTON MEDICAL CENTER - H
31784OtherHEALTH NEW ENGLAND
42671OtherCHILDRENS MEDICAL PLAN
043202198OtherMULTIPLAN
205892OtherHARVARD/PILGRIM

Other names 1

  • Cherrie C Chua-PO Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215726MAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc Past Accepting new patients
Rukmini S Kenia MD PC Past Accepting new patients
Western Mass Physician Associates Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1902806813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SPRINGFIELD RD",
            "address_2": "WESTFIELD PEDIATRICS",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851855",
            "telephone_number": "413-562-8330",
            "fax_number": "413-562-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SPRINGFIELD RD",
            "address_2": "WESTFIELD PEDIATRICS",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851855",
            "telephone_number": "413-562-8330",
            "fax_number": "413-562-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "CHERRIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "215726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA MEDICAID - PCC",
            "identifier": "2000270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE OF MA",
            "identifier": "215726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACH STREET",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "J25781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4278616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTH PLAN",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC - PPO",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "J25781",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED HEALTH PLAN",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE VALUE MANAGEM",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER - H",
            "identifier": "0000000024681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "31784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MEDICAL PLAN",
            "identifier": "42671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD/PILGRIM",
            "identifier": "205892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRIE",
            "last_name": "CHUA-PO",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.