Individual provider Active NPI

Jonathan Wu, M.D.

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1225201171
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P6555 Issued in TX
Practice address
7269 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone
(817) 529-6200
Fax
(817) 529-6205
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X P6555 TX Primary

Addresses

Primary practice location

7269 Hawkins View Dr
Fort Worth, TX 76132-3921

Mailing address

7269 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone (817) 529-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130717000105 TX Practitioner - OtolaryngologyPractitioner - Other (Physician) 6608016522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Cross Timbers ENT, PLLCGroup PAC ID 9234291840, 14 clinicians

Practice addresses (Care Compare)

2021 S 14TH St
Suite 100
Midlothian, TX 76065-7301
Phone (817) 261-3000

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monty V. Trimble , MD, P.a Specialist CurrentSince Jul 1, 2013 Accepting new patients
Cross Timbers ENT PLLC Specialist CurrentSince Jan 29, 2018 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 301
Arlington, TX 76014
Phone (817) 261-3000

3455 Locke Ave
Fort Worth, TX 76107
Phone (214) 284-7106

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223

7269 Hawkins View Dr
Fort Worth, TX 76132
Phone (817) 415-1900

801 E Debbie Ln
Mansfield, TX 76063
Phone (817) 261-3000

2021 S 14th St
Ste 100
Midlothian, TX 76065
Phone (817) 261-3000

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.

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1225201171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7269 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-529-6200",
            "fax_number": "817-529-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7269 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-529-6200",
            "fax_number": "817-529-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "P6555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.