Active NPI
Henry Wu, DPM
- Foot & Ankle Surgery Podiatrist
- Flushing, NY
National Provider Identifier
1003829268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006109
- Practice address
- 133-38 41St Road
Suite Co1
Flushing, NY 11355-3782 - Phone
- (718) 886-9086
- Fax
- (718) 886-2086
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006109 | NY | Primary |
Addresses
Primary practice location
133-38 41St Road
Suite Co1
Flushing, NY 11355-3782
Mailing address
133-38 41St Road
Suite Co1
Flushing, NY 11355-3782
Phone (917) 838-9873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02703675 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000034 | NY | Practitioner - Podiatry | 8123059169 | Practice locations: Flushing, NY |
| O20100930030280 | NY | DME Supplier - Physician - Podiatry | 2567526494 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Flushing, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Flushing, NY
- NPI 1538306840
O20100930030280
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13338 41St Rd
Suite Co1
Flushing, NY 11355-3661
13338 41St Rd
Suite Co1
Flushing, NY 11355-3782
Phone (718) 886-9086
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 25 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 508 |
| Removal or shaving of skin growth | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006109 | NY | MD | Foot & Ankle Surgery Podiatrist |
| 006109 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Shore Physician Services | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- hew9032@direct.nyp.org
Organizations & group practices 1
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.
-
- Clinic/Center
- New Rochelle, NY
- NPI 1689883068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599955200000",
"number": "1003829268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133-38 41ST ROAD",
"address_2": "SUITE CO1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553782",
"telephone_number": "917-838-9873",
"fax_number": "718-886-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133-38 41ST ROAD",
"address_2": "SUITE CO1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553782",
"telephone_number": "718-886-9086",
"fax_number": "718-886-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2020-09-13",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02703675",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.