DR. HEIDI K CHUA MD
NPI 1619964665
Colon & Rectal Surgery in Rochester, MN

NPI Status: Active since October 04, 2005

Contact Information

200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511

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  • Individual
  • Female
  • Colon & Rectal Surgery
  • PECOS Enrolled

About HEIDI CHUA

This page provides the complete NPI Profile along with additional information for Heidi Chua, a provider established in Rochester, Minnesota with a medical specialization in Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1619964665 assigned on October 2005. The practitioner's primary taxonomy code is 208C00000X with license number 38138 (MN). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1619964665
Provider Name
DR. HEIDI K CHUA MD
Gender
Female
Entity Type
Individual
Location Address
200 1ST ST SW ROCHESTER, MN 55905
Location Phone
(507) 284-2511
Mailing Address
200 1ST ST SW ROCHESTER, MN 55905
Mailing Phone
(507) 284-2511
Is Sole Proprietor?
No
Enumeration Date
10-04-2005
Last Update Date
08-12-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Colon & Rectal Surgery

Taxonomy Code
208C00000X
Type
Allopathic & Osteopathic Physicians
License No.
38138
License State
MN
Taxonomy Description
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208C00000XAllopathic & Osteopathic Physicians

Colon & Rectal Surgery

2008000432 (MO)
2208D00000XAllopathic & Osteopathic Physicians

General Practice

38138 (MN)

Medicare Participation & PECOS Enrollment Status

Heidi Chua is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each (HCPCS:A4373)

    2 DME suppliers used 13 Medicare Claims 170 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each (HCPCS:A4385)

    6 DME suppliers used 28 Medicare Claims 900 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce (HCPCS:A4394)

    2 DME suppliers used 13 Medicare Claims 173 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)

    1 DME suppliers used 12 Medicare Claims 220 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each (HCPCS:A5063)

    3 DME suppliers used 12 Medicare Claims 230 Services Paid

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA000N)

    Adhesive remover, wipes, any type, each (HCPCS:A4456)

    3 DME suppliers used 11 Medicare Claims 935 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 63 times for 51 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 29 times for 29 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 45 times for 41 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55905 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619964665, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 8 + 6 + 8 + 6 + 1 + 2 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1619964665.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Dermatology
200 1ST ST SW
ROCHESTER, MN 55905
Physician Assistant
200 1ST ST SW
ROCHESTER, MN 55905
Genetic Counselor, MS
200 1ST ST SW
ROCHESTER, MN 55905
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
200 1ST ST SW
ROCHESTER, MN 55905
Anesthesiology
200 1ST ST SW
ROCHESTER, MN 55905
Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Medical Oncology)
200 1ST ST SW
ROCHESTER, MN 55905
Obstetrics & Gynecology (Gynecology)
200 1ST ST SW
ROCHESTER, MN 55905
Surgery
200 1ST ST SW
ROCHESTER, MN 55905
Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Otolaryngology
200 1ST ST SW
ROCHESTER, MN 55905
Pediatrics
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Cardiovascular Disease)
200 1ST ST SW
ROCHESTER, MN 55905
Audiologist
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Neurology)
200 1ST ST SW
ROCHESTER, MN 55905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619964665, enumerated as an "individual" on October 04, 2005.

The provider is located at 200 1ST ST SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.

Colon & Rectal Surgery with taxonomy code 208C00000X.