Physician Compare National (NPI:1144683368)

HEALTHCARE PROVIDER: ANSON KA-CHENG CHU DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144683368
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870872948
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200627000098
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHU
	Individual professional last name
Provider First Name	ANSON
	Individual professional first name
Provider Middle Name	KA-CHENG
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GORADIA ORTHOPAEDICS PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9032157722
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 CONCOURSE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 150
	Group Practice or individual's line 2 address
City	GLEN ALLEN
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	230595751
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8046789000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390321
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y