Individual provider Active NPI

Alan Chu

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
National Provider Identifier
1972954832
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301110361 Issued in MI
Practice address
25 Michigan St NE
Ste 2200
Grand Rapids, MI 49503-2515
Phone
(616) 391-3245
NPI assigned
Jun 22, 2016
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301110361 MI Primary

Addresses

Primary practice location

25 Michigan St NE
Ste 2200
Grand Rapids, MI 49503-2515

Mailing address

25 Michigan St NE
Ste 2200
Grand Rapids, MI 49503-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220728002264 WA Practitioner - Diagnostic Radiology 5092009936 Reassigns benefits to 2 organizations
I20220902000690 AK Practitioner - Diagnostic Radiology 5092009936 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Baker Imaging LLCGroup PAC ID 7113963802, 34 clinicians
Northwest Radiologists Inc PSGroup PAC ID 1456248368, 27 clinicians
PeacehealthGroup PAC ID 9436067618, shared by 5 NPIs, 71 clinicians

Practice addresses (Care Compare)

2930 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1854
Phone (360) 733-0430

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (360) 733-0430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
62 of 100Reported as group
Quality
80
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110361MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Radiologists Inc PS Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Mt. Baker Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

2930 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-0890

2930 Squalicum Pkwy
Ste 201
Bellingham, WA 98225
Phone (360) 733-3177

4029 Northwest Ave
Ste 201
Bellingham, WA 98226

Organizations & group practices 4

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 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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1972954832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE",
            "address_2": "STE 2200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE",
            "address_2": "STE 2200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032515",
            "telephone_number": "616-391-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301110361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.