Alice Wuu, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

6600 Bryant Irvin Rd
Ft Worth, TX 76132-4217

Phone

(817) 820-0011

NPI assigned

Apr 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Texas Southwestern Medical School at Dallas, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Tarrant Dermatology IncGroup PAC ID 6002801164, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFEIBA/Endpoint/JFEIBA

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.

• Northeast Tarrant Dermatology, Inc

  • Dermatology Physician
  • Hurst, TX
  • NPI 1235357666
  Medicare reassignment Care Compare group NPD
• Betty Rajan MD PLLC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Fort Worth, TX
  • NPI 1730487836
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1245557347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 BOULDER PARK DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760408516",
            "telephone_number": "832-567-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 BRYANT IRVIN RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761324217",
            "telephone_number": "817-820-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUU",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liancun Wu
• Rebecca L Wu, PAC
• Xiaoyan Wu, M.D.
• Jodi Leann Wurst, FNP
• John Wurz, DO
• Catherine Wyatt, NP
• Ebony Wyatt, DOULA
• Graydon Douglas Wyatt, DDS
• Ryan Wyatt, M.D.
• Toni Wyatt, LMSW

• Student in an Organized Health Care Education/Training Program in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.