Individual provider Active NPI

Heidi H. Wu, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1326042136
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61786 Issued in CA
Practice address
50 N. la Cienega Blvd.
Ste 320
Beverly Hills, CA 90211
Phone
(310) 659-9950
Fax
(310) 659-9957
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61786 CA Primary

Addresses

Primary practice location

50 N. la Cienega Blvd.
Ste 320
Beverly Hills, CA 90211

Mailing address

50 N la Cienega Blvd
Suite 320
Beverly Hills, CA 90211-2227
Phone (310) 659-9950

Other identifiers 3

IdentifierTypeStateIssuer
00A617860MedicaidCA
95-4867055OtherCABLUE CROSS
00A617860OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20140205001476 HI Practitioner - Internal Medicine 2668433244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

55 Maui Lani Pkwy
Wailuku, HI 96793-2416
Phone (808) 243-6050

80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Permanente Medical Group Inc CurrentSince Oct 21, 2013 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Aug 18, 2021 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Allan L Metzger MD Inc Past Accepting new patients
Brian Flyer MD a Professional Internal Medicine PastSince Feb 27, 2018 Accepting new patients
RS Venuturupalli MD Inc Past Accepting new patients

Locations

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

Organizations & group practices 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1326042136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD",
            "address_2": "SUITE 320",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112227",
            "telephone_number": "310-659-9950",
            "fax_number": "310-659-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N. LA CIENEGA BLVD.",
            "address_2": "STE 320",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-659-9950",
            "fax_number": "310-659-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "HEIDI",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A617860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "95-4867055",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A617860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.