Active NPI
Thomas Chu, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1972825222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1196
- Practice address
- 9020 W Cheyenne Ave
Las Vegas, NV 89129-8932 - Phone
- (702) 240-4233
- Fax
- (702) 242-5901
- NPI assigned
- Feb 26, 2010
- Last updated
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- No
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 | PA1196 | NV | Primary |
Addresses
Primary practice location
9020 W Cheyenne Ave
Las Vegas, NV 89129-8932
Mailing address
5841 E. Charleston Boulvard
230-479
Las Vegas, NEVADA 89142
UM
Phone (702) 734-8014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 E Charleston Blvd
Suite 100
Las Vegas, NV 89104-6683
Phone (702) 432-8032
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1196 | NV | MD | Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology Physician
- Las Vegas, NV
- NPI 1457384448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1972825222",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "5841 E. CHARLESTON BOULVARD",
"address_2": "230-479",
"city": "LAS VEGAS",
"state": "NEVADA",
"postal_code": "89142",
"telephone_number": "702-734-8014",
"fax_number": "702-734-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 W CHEYENNE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298932",
"telephone_number": "702-240-4233",
"fax_number": "702-242-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.