Physician Compare National (NPI:1992943476)

HEALTHCARE PROVIDER: BRIAN TIN CHU M.D.

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

Individual Professional Information
NPI	1992943476
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931248598
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130813000063
	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	BRIAN
	Individual professional first name
Provider Middle Name	T
	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	2006
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CHS PHYSICIAN PARTNERS PC
	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	7618955667
	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	312
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	701 ROUTE 25A
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B1
	Group Practice or individual's line 2 address
City	MOUNT SINAI
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117662050
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6313314403
	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	330246
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST CHARLES HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330393
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUNY/STONY BROOK UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330401
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST CATHERINE OF SIENA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330185
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y