Individual provider Active NPI

Andrea K. Vu, M.D,

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1295746246
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0007746 Issued in DE
Practice address
111 Wolf Creek Blvd
Suite 2
Dover, DE 19901-4969
Phone
(302) 678-0510
Fax
(302) 678-2864
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0007746 DE Primary

Addresses

Primary practice location

111 Wolf Creek Blvd
Suite 2
Dover, DE 19901-4969

Mailing address

111 Wolf Creek Blvd
Suite 2
Dover, DE 19901-4969
Phone (302) 678-0510

Other identifiers 1

IdentifierTypeStateIssuer
1000038315MedicaidDE

Other names 1

  • Andrea K. Vu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20051003000875 DE Practitioner - Family Practice 5294760856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medical Centre PAGroup PAC ID 4385732262, 2 clinicians

Practice addresses (Care Compare)

111 Wolf Creek Blvd
Suite 2
Dover, DE 19901-4969
Phone (302) 678-0510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
70.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Centre PA Family Medicine CurrentSince May 1, 2009 Accepting new patients
Bayhealth Hospitalist, LLC Past Accepting new patients
Christiana Medical Group, PA Past Accepting new patients
Nephrology Consultants PA PastSince May 1, 2009 Accepting new patients

Locations

111 Wolf Creek Blvd
Ste 2
Dover, DE 19901
Phone (302) 678-0510

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c97fd5e-8596-4941-825c-71277aadd345/
  • Direct secure messaging: andrea.vu.1@19734.direct.athenahealth.com

Organizations & group practices 4

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 6

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1295746246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WOLF CREEK BLVD",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014969",
            "telephone_number": "302-678-0510",
            "fax_number": "302-678-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WOLF CREEK BLVD",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014969",
            "telephone_number": "302-678-0510",
            "fax_number": "302-678-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "ANDREA",
        "middle_name": "K.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0007746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038315",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "VU",
            "middle_name": "K.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.