Individual provider Active NPI

Michael M Chu, M.D.

  • Gastroenterology Physician
  • Arcadia, CA
National Provider Identifier
1952491805
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A52399 Issued in CA
Practice address
632 W Duarte Rd Ste 170
Arcadia, CA 91007-7610
Phone
(626) 445-1278
Fax
(626) 445-1784
NPI assigned
Oct 13, 2006
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A52399 CA
Gastroenterology Physician 207RG0100X A52399 CA Primary

Addresses

Primary practice location

632 W Duarte Rd Ste 170
Arcadia, CA 91007-7610

Mailing address

632 W Duarte Rd Ste 170
Arcadia, CA 91007-7610
Phone (626) 445-1278

Other identifiers 1

IdentifierTypeStateIssuer
00A523990MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090217000711 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4880663715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Annie Shu and Michael ChuGroup PAC ID 4385668276, 2 clinicians

Practice addresses (Care Compare)

632 W Duarte Rd
Suite 170
Arcadia, CA 91007-7610
Phone (626) 445-1278

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Upper gastrointestinal (GI) endoscopy for acid reflux51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52399CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 23, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 23, 2016 Accepting new patients
Annie Shu & Michael Chu Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Kwok Leung Chung MD Inc Gastroenterology Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

623 W Duarte Rd
Ste 1
Arcadia, CA 91007
Phone (626) 445-1278

632 W Duarte Rd
Ste 170
Arcadia, CA 91007
Phone (626) 445-1278

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

9400 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-6064

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1952491805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W DUARTE RD STE 170",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077610",
            "telephone_number": "626-445-1278",
            "fax_number": "626-445-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W DUARTE RD STE 170",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077610",
            "telephone_number": "626-445-1278",
            "fax_number": "626-445-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52399",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A52399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A523990",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9400 Rosecrans Ave",
            "city": "Bellflower",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907062246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.