Individual provider Active NPI

Wylie Hung Zhu, MD

  • Neurological Surgery Physician
  • Norfolk, VA
National Provider Identifier
1083692917
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101255217 Issued in VA
Practice address
301 Riverview Ave Ste 202a
Norfolk, VA 23510-1065
Phone
(757) 252-9140
Fax
(757) 793-4149
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 46914 MN
Neurological Surgery Physician 207T00000X 0101255217 VA Primary

Addresses

Primary practice location

301 Riverview Ave Ste 202a
Norfolk, VA 23510-1065

Mailing address

301 Riverview Ave Ste 202a
Norfolk, VA 23510-1065
Phone (757) 252-9140

Other identifiers 1

IdentifierTypeStateIssuer
46914OtherMNMN MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140326000034 VA Practitioner - Neurosurgery 9830161363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 395-2323

1933 Edwin Dr
Chesapeake, VA 23322-6531

301 Riverview Ave
Norfolk, VA 23510-1065

4000 Coliseum Dr
Hampton, VA 23666-5975

600 Gresham Dr
Norfolk, VA 23507-1904

6251 E Virginia Beach Blvd
Norfolk, VA 23502-2824

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion52
Laminectomy or laminotomy (partial removal of spine bones)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46914MNMDNeurological Surgery Physician
0101255217VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Mar 10, 2014 Accepting new patients

Locations

600 Gresham Dr
Ste 8630
Norfolk, VA 23507
Phone (757) 388-6105

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

301 Riverview Ave
Ste 202A
Norfolk, VA 23510
Phone (757) 252-9015

301 Riverview Ave
Ste 202
Norfolk, VA 23510
Phone (757) 252-9015

Interoperability endpoints

  • Direct secure messaging: wzhu131409@direct.sentara.net

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1083692917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 202A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101065",
            "telephone_number": "757-252-9140",
            "fax_number": "757-793-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 202A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101065",
            "telephone_number": "757-252-9140",
            "fax_number": "757-793-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHU",
        "first_name": "WYLIE",
        "middle_name": "HUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "46914",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101255217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN MEDICAL LICENSE",
            "identifier": "46914",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.