DR. RANDELL CHUA GANCHUA MD
NPI 1609009414
Internal Medicine in Grand Rapids, MI
About Dr. Randell Chua Ganchua Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDELL CHUA GANCHUA MD (NPI 1609009414) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301094295) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Randell Chua Ganchua Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Randell Ganchua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health United Hospital
Acute Care Hospitals · Greenville, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Randell Ganchua's NPI number?
The NPI number for Randell Ganchua is 1609009414. It was assigned to this individual provider in the NPPES registry on August 26, 2009.
Where is Randell Ganchua located?
Randell Ganchua practices at 100 Michigan St NE Suite A721, Grand Rapids, MI 49503. The listed phone number is (616) 391-3139.
What is Randell Ganchua's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Randell Ganchua enrolled in Medicare?
Yes. Randell Ganchua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Randell Ganchua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randell Ganchua reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randell Ganchua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randell Ganchua accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Randell Ganchua as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Randell Ganchua affiliated with any hospitals?
According to CMS data, Randell Ganchua is affiliated with Spectrum Health United Hospital and Spectrum Health.
When was this NPI record last updated?
The NPPES record for Randell Ganchua was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Randell Chua Ganchua, MD · NPI 1609009414
Internal Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 26, 2009.
## Identity
- **NPI:** 1609009414 (Entity type: Individual)
- **Enumerated:** August 26, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301094295 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, SUITE A721, Grand Rapids, MI 49503-2560
- **Phone:** (616) 391-3139 · **Fax:** (616) 391-3044
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1790093763, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 26, 2021
- **Other identifiers:** Medicaid 1609009414 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1609009414) · Data from the CMS NPPES public registry.