Organization Active NPI

Robert H. Wu. MD, PC.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1013102326
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROBERT H. WU. MD, PC.
Practice address
65 Harrison Ave Ste 308
Boston, MA 02111-1924
Phone
(617) 338-9889
NPI assigned
Sep 10, 2007
Organization subpart
Yes
Parent organization
ROBERT H. WU.MD,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Robert H Wu Sr.NPI 1790713824
Title
MD
Phone
(617) 786-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

65 Harrison Ave Ste 308
Boston, MA 02111-1924

Mailing address

65 Harrison Ave Ste 308
Boston, MA 02111-1924
Phone (617) 338-9889

Other identifiers 2

IdentifierTypeStateIssuer
9749250MedicaidMA
M18922OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000495 MA Part B Supplier - Clinic/Group Practice 6709837081 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1006589Robert H Wu MD PC65 Harrison Avenue, Boston, MA 02111Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory
Part of
Robert H Wu MD PC

Locations

65 Harrison Ave
Ste 308
Boston, MA 02111
Phone (617) 338-9889

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1013102326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HARRISON AVE STE 308",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111924",
            "telephone_number": "617-338-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HARRISON AVE STE 308",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111924",
            "telephone_number": "617-338-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. WU. MD, PC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT H. WU.MD,PC",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "617-786-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9749250",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18922",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.