Individual provider Active NPI

Sean Z Wu, MD

  • Dermatology Physician
  • Hunt Valley, MD
National Provider Identifier
1265961304
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0091254 Issued in MD
Practice address
54 Scott Adam Rd Ste 301
Hunt Valley, MD 21030-3360
Phone
(410) 666-3960
NPI assigned
Jun 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 57.245363 OH
Internal Medicine Physician 207R00000X 125.070973 IL
Dermatology Physician 207N00000X D0091254 MD Primary

Addresses

Primary practice location

54 Scott Adam Rd Ste 301
Hunt Valley, MD 21030-3360

Mailing address

54 Scott Adam Rd Ste 301
Hunt Valley, MD 21030-3360
Phone (410) 666-3960

Other practice location 1

5841 S Maryland Ave Ste Mc7082
Chicago, IL 60637-1465
Phone (773) 795-0232

Other practice location 2

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220628000025 MD Practitioner - Dermatology 0547539207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

54 Scott Adam Rd
Suite 301
Hunt Valley, MD 21030-3360
Phone (410) 666-3960

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision14
Removal of skin lesions604
Removal or shaving of skin growth1-10
Skin biopsy180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.245363OHMDDermatology Physician
125.070973ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology Affiliates PC Dermatology CurrentSince Jul 1, 2022 Accepting new patients
Anne Arundel Dermatology LLC Dermatology CurrentSince Nov 11, 2024 Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439

1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376

54 Scott Adam Rd
Ste 301
Hunt Valley, MD 21030
Phone (410) 296-3415

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

125 Market St
Virginia Beach, VA 23462
Phone (757) 437-8900

Interoperability endpoints

  • Direct secure messaging: seanzwu@aadermaffiliates.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": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1265961304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD STE 301",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303360",
            "telephone_number": "410-666-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD STE 301",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303360",
            "telephone_number": "410-666-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave Ste Mc7082",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371465",
            "country_code": "US",
            "telephone_number": "773-795-0232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-584-4644",
            "fax_number": "513-584-1559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "SEAN",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-11",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "57.245363",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.070973",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0091254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.