Individual provider Active NPI

Adolfo Chuy, MD

  • Diagnostic Radiology Physician
  • Saint Paul, MN
National Provider Identifier
1992783161
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23907 Issued in MN
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

Updated by the provider on Jun 9, 2010

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 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

IdentifierTypeStateIssuer
815075300MedicaidMN

Other names 1

  • Adolfo Chuy-Woc Other name

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

LicenseStateTypeSpecialty
23907MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.