Individual provider Active NPI

Jewel Bynoe Osborne-Wu, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1003175589
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101260555 Issued in VA
Practice address
1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone
(202) 596-8891
Fax
(833) 941-2357
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0080145 MD
Family Medicine Physician 207Q00000X MD453807 PA
Family Medicine Physician 207Q00000X 0101260555 VA Primary

Addresses

Primary practice location

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304

Mailing address

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone (202) 596-8891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160203001439 MD Practitioner - Family Practice 6305069865 Reassigns benefits to 1 organization
I20161005000162 DC Practitioner - Family Practice 6305069865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revolution Medicine Health and Fitness PLLCGroup PAC ID 7911339890, 14 clinicians

Practice addresses (Care Compare)

1050 Connecticut Ave NW
Suite 500
Washington, DC 20036-5304
Phone (202) 596-8891

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (202) 596-8891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0080145MDMDFamily Medicine Physician
MD453807PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Neighborhood Health CurrentSince Aug 15, 2016 Accepting new patients
Revolution Medicine Health & Fitness PLLC Family Medicine CurrentSince Aug 2, 2023 Accepting new patients
Neighborhood Health Current Accepting new patients

Locations

1050 Connecticut Ave NW
Ste 500
Washington, DC 20036
Phone (202) 596-8891

1050 Connecticut Ave NW
Fl 5
Washington, DC 20036
Phone (301) 642-9576

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 535-6913

6677 Richmond Hwy
Alexandria, VA 22306

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23388/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jewel.osborne-wu.1@23388.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1003175589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "202-596-8891",
            "fax_number": "833-941-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "202-596-8891",
            "fax_number": "833-941-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE-WU",
        "first_name": "JEWEL",
        "middle_name": "BYNOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0080145",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101260555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.