Philip Pak-yu Chu (NPI# 1396797841, PAC ID# 2163616715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1396797841 |
PAC ID by PECOS | 2163616715 |
Professional Enrollment ID | I20101028000278 |
Full Name | Philip Pak-yu Chu |
Organization Legal Name | FAIRVIEW MEDICAL GROUP LLC |
Address |
331 Salem Pl Suite 100 Fairview Heights IL 62208-1340 |
Phone Number | 6186323343118 |
Gender | M |
Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
Graduation Year | 1992 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 7012981806 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140185 | MEMORIAL HOSPITAL |
140187 | HSHS ST ELIZABETH'S HOSPITAL |
140307 | METRO-EAST SERVICES INC |
140145 | ST JOSEPHS HOSPITAL |
Address | Phone | Organization |
---|---|---|
331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340 | 6186323343118 | FAIRVIEW MEDICAL GROUP LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 91% | |
MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 75% | |
MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 1% |
Organization Legal Name | FAIRVIEW MEDICAL GROUP LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mounir Mikhail Shenouda | Internal Medicine | Fairview Medical Group LLC | 331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340 |
Street Address |
331 SALEM PL SUITE 100 |
City | FAIRVIEW HEIGHTS |
State | IL |
Zip | 62208-1340 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mounir Mikhail Shenouda | Internal Medicine | Fairview Medical Group LLC | 331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard C Derby | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Lowell G Sensintaffar | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Anthony Truong | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Tara Helfrich | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Bassim Assioun | Nephrology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Erica P Criss | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Marc D Mccleary | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Kostantinos E Psihramis | Urology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Nell Ann Schmits Hennon | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
Eric S Mann | Ophthalmology | 317 Salem Place, Suite 150, Fairview Heights, IL 62208-1347 | |
Find all physicians in zip 62208 |
City | FAIRVIEW HEIGHTS |
Zip Code | 62208 |
Specialty | INTERNAL MEDICINE |
City + Specialty | FAIRVIEW HEIGHTS + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.