Individual provider Active NPI

Dandan Tu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Greenwich, CT
National Provider Identifier
1386970960
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
48212 Issued in CT
Practice address
1165 King Street
Greenwich Woods Rehabilitation & Health Care Cente
Greenwich, CT 06831
Phone
(203) 665-8193
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 48212 CT Primary
Physical Medicine & Rehabilitation Physician 208100000X 255367 NY

Addresses

Primary practice location

1165 King Street
Greenwich Woods Rehabilitation & Health Care Cente
Greenwich, CT 06831

Mailing address

24 Byfield LN
Greenwich, CT 06830-3446
Phone (203) 665-8193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100317000412 CT Practitioner - Physical Medicine and Rehabilitation 6002941986 Practice locations: Greenwich, CT; Norwalk, CT; Stamford, CT
I20100324000210 NY Practitioner - Physical Medicine and Rehabilitation 6002941986 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48212CTMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1386970960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BYFIELD LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068303446",
            "telephone_number": "203-665-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 KING STREET",
            "address_2": "GREENWICH WOODS REHABILITATION & HEALTH CARE CENTE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "telephone_number": "203-665-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "DANDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "48212",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "255367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.