Individual provider Active NPI

Henry Wu, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flushing, NY
National Provider Identifier
1003829268
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006109 Issued in NY
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

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02703675MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

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

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions19
Removal of nail tissue508
Removal or shaving of skin growth82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006109NYMDFoot & Ankle Surgery Podiatrist
006109NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.