Active NPI
Mona Shiao Wu, MD
- Emergency Medicine Physician
- West Roxbury, MA
National Provider Identifier
1164482717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 151292
- Practice address
- 1400 VFW Pkwy
West Roxbury, MA 02132-4927 - Phone
- (857) 203-5425
- NPI assigned
- Mar 27, 2006
- Last updated
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 151292 | MA | Primary |
Addresses
Primary practice location
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Mailing address
116 Clarke Rd
Needham, MA 02462
Phone (781) 992-3008
Other practice location 1
2014 Washington Street
Newton, MA 02462
Phone (617) 243-6040
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3900411 | Other | UNITED | |
| 3155188 | Medicaid | MA | |
| 438983 | Other | HP | |
| 151292 | Other | TUFTS | |
| 930066514 | Other | RAILROAD | |
| J17374 | Other | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1164482717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CLARKE RD",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "02462",
"telephone_number": "781-992-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "857-203-5425"
}
],
"practiceLocations": [
{
"address_1": "2014 Washington Street",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "02462",
"country_code": "US",
"telephone_number": "617-243-6040",
"fax_number": "617-243-6924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "MONA",
"middle_name": "SHIAO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "151292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "3900411",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3155188",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP",
"identifier": "438983",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "151292",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "930066514",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J17374",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.