Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Randell Chua Ganchua, MD

Individual provider Internal Medicine Physician · NPI 1609009414

Dr. Randell Chua Ganchua, MD is an Internal Medicine in Grand Rapids, Michigan. Qualified in 2007, 19 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Michigan St NE Ste A721
Grand Rapids, MI 49503-2560
Phone: (616) 391-3139
Fax: (616) 391-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301094295 (MI)

Record details

NPI number1609009414
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 26, 2009
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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