Individual provider Active NPI

Sofia Chu, M.D.

  • Family Medicine Physician
  • Cohasset, MA
National Provider Identifier
1932307840
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
243007 Issued in MA
Practice address
223 Chief Justice Cushing Hwy Ste 301
Cohasset, MA 02025-1391
Phone
(781) 383-6261
Fax
(781) 383-1084
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 243007 MA Primary

Addresses

Primary practice location

223 Chief Justice Cushing Hwy Ste 301
Cohasset, MA 02025-1391

Mailing address

PO Box 68
S Weymouth, MA 02190-0001
Phone (781) 383-6261

Other identifiers 1

IdentifierTypeStateIssuer
110085302AMedicaidMA

Other names 1

  • Sofia Siswanto Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101021000204 MA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1951594019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Boston University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare South PCGroup PAC ID 0941273262, 24 clinicians

Practice addresses (Care Compare)

223 Chief Justice Cushing Hwy 101
Cohasset, MA 02025-1391
Phone (781) 383-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.47 of 100Reported as individual
Quality
41.86
Promoting interoperability
0
Improvement activities
40
Cost
76.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions16
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243007MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC Family Medicine CurrentSince Jul 10, 2017 Accepting new patients

Locations

223 Chief Justice Cushing Hwy
Ste 301
Cohasset, MA 02025
Phone (781) 373-6261

223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025
Phone (781) 383-6800

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

Interoperability endpoints

  • Direct secure messaging: sofiachu@hcs.allscriptsdirect.net

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932307840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021900001",
            "telephone_number": "781-383-6261",
            "fax_number": "781-383-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CHIEF JUSTICE CUSHING HWY STE 301",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251391",
            "telephone_number": "781-383-6261",
            "fax_number": "781-383-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "SOFIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "243007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085302A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIA",
            "last_name": "SISWANTO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cohasset, MA

Sources for this page

Verify at the official NPI Registry.