Individual provider Active NPI

Wilson Chia-Siung Wu, M.D., PH.D.

  • Ophthalmology Physician
  • Santa Barbara, CA
National Provider Identifier
1003920372
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G67007 Issued in CA
Practice address
3892 State St
Ste 100
Santa Barbara, CA 93105-5608
Phone
(805) 687-8111
Fax
(805) 687-0058
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G67007 CA Primary

Addresses

Primary practice location

3892 State St
Ste 100
Santa Barbara, CA 93105-5608

Mailing address

3892 State St
Ste 100
Santa Barbara, CA 93105-5608
Phone (805) 687-8111

Other identifiers 1

IdentifierTypeStateIssuer
00G670072MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000847 CA Practitioner - Ophthalmology 0648462747 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3892 State St
Santa Barbara, CA 93105-5608
Phone (805) 687-8111

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Cottage Hospital Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1003920372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3892 STATE ST",
            "address_2": "STE 100",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055608",
            "telephone_number": "805-687-8111",
            "fax_number": "805-687-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3892 STATE ST",
            "address_2": "STE 100",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055608",
            "telephone_number": "805-687-8111",
            "fax_number": "805-687-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "WILSON",
        "middle_name": "CHIA-SIUNG",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G67007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G670072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.