Individual provider Active NPI

Karen Nguyen Wu, M.D.

  • Dermatopathology (Pathology) Physician
  • Portsmouth, NH
National Provider Identifier
1245441310
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
16057 Issued in NH
Practice address
111 New Hampshire Ave Ste 3
Portsmouth, NH 03801-2864
Phone
(603) 988-0951
Fax
(603) 441-3722
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD438668 PA
Dermatopathology (Pathology) Physician 207ZD0900X 16057 NH Primary

Addresses

Primary practice location

111 New Hampshire Ave Ste 3
Portsmouth, NH 03801-2864

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (802) 909-2053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20130702000633 NH Practitioner - Pathology 3375783996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

1 Hampton Rd
Suite A306
Exeter, NH 03833-4848
Phone (603) 294-4635

111 New Hampshire Ave
Portsmouth, NH 03801-2864
Phone (603) 988-0951

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16057NHMDDermatopathology (Pathology) Physician
MD438668PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Dermatology LLC CurrentSince Jan 5, 2023 Accepting new patients
Pathology Specialists of New England,PA Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2013 Accepting new patients

Locations

1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

111 New Hampshire Ave
Ste 3
Portsmouth, NH 03801
Phone (603) 988-0951

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

  • Direct secure messaging: kwu@iscc.emadirect.md
  • Direct secure messaging: kwu@optima.emadirect.md
  • Direct secure messaging: kwu@dermindy.emadirect.md
  • Direct secure messaging: kwu@advdermatology.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1245441310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "802-909-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 3",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "603-988-0951",
            "fax_number": "603-441-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KAREN",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD438668",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NH",
            "license": "16057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.