Individual provider Active NPI

Gina Wu, D.O.

  • Infectious Disease Physician
  • Blauvelt, NY
National Provider Identifier
1205065927
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
006429 Issued in AZ
Practice address
11 Klee LN
Blauvelt, NY 10913-2025
Phone
(480) 231-8067
Fax
(480) 231-8067
NPI assigned
Jul 2, 2009
Last updated
May 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 006429 AZ Primary

Addresses

Primary practice location

11 Klee LN
Blauvelt, NY 10913-2025

Mailing address

11 Klee LN
Blauvelt, NY 10913-2025
Phone (602) 406-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160729001262 AZ Practitioner - Infectious Disease 0244523108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glendale Infectious Diseases PLLCGroup PAC ID 8123539798, 4 clinicians

Practice addresses (Care Compare)

5310 W Thunderbird Rd
Suite 201
Glendale, AZ 85306-4722
Phone (623) 335-4110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006429AZMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Infectious Disease PLLC Infectious Disease CurrentSince Mar 3, 2025 Accepting new patients
Synergy Infectious Disease Infectious Disease CurrentSince Aug 1, 2016 Accepting new patients
Glendale Infectious Diseases, PLLC Infectious Disease CurrentSince Aug 1, 2025 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

2151 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 676-3322

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

5310 W Thunderbird Rd
Ste 201
Glendale, AZ 85306
Phone (623) 335-4110

5601 W Eugie Ave
Ste 204
Glendale, AZ 85304
Phone (623) 244-0050

4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642

2899 N 87th St
Ste 110
Scottsdale, AZ 85257
Phone (480) 582-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24976/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1205065927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KLEE LN",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109132025",
            "telephone_number": "602-406-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KLEE LN",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109132025",
            "telephone_number": "480-231-8067",
            "fax_number": "480-231-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "006429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blauvelt, NY

Sources for this page

Verify at the official NPI Registry.