Active NPI
Adolfo Chuy, MD
- Diagnostic Radiology Physician
- Saint Paul, MN
National Provider Identifier
1992783161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23907
- Practice address
- 166 4TH St E
Saint Paul, MN 55101-1421 - Phone
- (651) 292-2043
- Fax
- (651) 292-2204
- NPI assigned
- Jan 6, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23907 | MN | Primary |
Addresses
Primary practice location
166 4TH St E
Saint Paul, MN 55101-1421
Mailing address
166 4TH St E
Saint Paul, MN 55101-1421
Phone (651) 292-2043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815075300 | Medicaid | MN |
Other names 1
- Adolfo Chuy-Woc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23907 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1992783161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 4TH ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011421",
"telephone_number": "651-292-2043",
"fax_number": "651-292-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 4TH ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011421",
"telephone_number": "651-292-2043",
"fax_number": "651-292-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUY",
"first_name": "ADOLFO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "23907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815075300",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADOLFO",
"last_name": "CHUY-WOC",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.