Active NPI
Jixian Wu, M.D.
- Internal Medicine Physician
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301067781
- Practice address
- 15855 19 Mile Rd
Clinton Township, MI 48038 - Phone
- (586) 263-2300
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A81081 | CA | |
| Hospitalist Physician | 208M00000X | 4301067781 | MI | |
| Hospitalist Physician | 208M00000X | A81081 | CA | |
| Internal Medicine Physician | 207R00000X | 4301067781 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton Township, MI 48038
Mailing address
PO Box 381065
Clinton TWP, MI 48038-0076
Phone (586) 399-1157
Other practice location 1
4967 Crooks Rd
Ste. 130
Troy, MI 48098-5801
Phone (248) 952-1601 ext. 21
Other practice location 2
4967 Crooks Rd
Ste. 130
Troy, MI 48098-5801
Phone (248) 952-1601 ext. 21
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4846647 | Medicaid | MI | |
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
| JW067781 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
Hospital & facility affiliations
- Henry Ford Macomb Hospital
- Straith Hospital for Special Surgery
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 91.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81081 | CA | MD | Hospitalist Physician |
| 4301067781 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- jwu63422@direct.hfhs.org
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.
-
- Hospitalist Physician
- Clinton TWP, MI
- NPI 1063923472
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1326032202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381065",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480380076",
"telephone_number": "586-399-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "48038",
"telephone_number": "586-263-2300"
}
],
"practiceLocations": [
{
"address_1": "4967 Crooks Rd",
"address_2": "Ste. 130",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480985801",
"country_code": "US",
"telephone_number": "248-952-1601 x21",
"fax_number": "248-952-0192",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4967 Crooks Rd",
"address_2": "Ste. 130",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480985801",
"country_code": "US",
"telephone_number": "248-952-1601 x21",
"fax_number": "248-952-0192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "JIXIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A81081",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301067781",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A81081",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301067781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4846647",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CPIN #",
"identifier": "70-0-F32947-0",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "JW067781",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.