Individual provider Active NPI

Jie Wu, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1356501209
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N6777 Issued in TX
Practice address
2260 Trawood Dr
El Paso, TX 79935-3040
Phone
(915) 591-4632
Fax
(915) 591-4069
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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 N6777 TX Primary

Addresses

Primary practice location

2260 Trawood Dr
El Paso, TX 79935-3040

Mailing address

2260 Trawood Dr
El Paso, TX 79935-3040
Phone (915) 591-4632

Other identifiers 3

IdentifierTypeStateIssuer
280260502MedicaidTX
271634YLPSOtherTXWELLMED PTAN
2802605-01MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110215000501 TX Practitioner - Internal Medicine 8325228828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2260 Trawood Dr
Suite C
El Paso, TX 79935-3042
Phone (915) 591-4632

Hospital & facility affiliations

  • Matrix Home Health Services Home health agency, El Paso, TX, CCN 679217
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Mar 18, 2013 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Mar 18, 2013 Accepting new patients

Locations

2260 Trawood Dr
El Paso, TX 79935
Phone (915) 591-4436

1810 Murchison Dr
Ste 120
El Paso, TX 79902
Phone (915) 234-2077

2260 Trawood Dr
Ste C
El Paso, TX 79935
Phone (915) 591-4632

7430 Remcon Cir
Bldg B
El Paso, TX 79912
Phone (915) 401-8999

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: jie.wu@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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 3

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1356501209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353040",
            "telephone_number": "915-591-4632",
            "fax_number": "915-591-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353040",
            "telephone_number": "915-591-4632",
            "fax_number": "915-591-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280260502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "271634YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802605-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.