Individual provider Active NPI

Lih Lih Wu, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1417053240
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
241322 Issued in NY
Practice address
6018 7TH Ave
Brooklyn, NY 11220-4105
Phone
(718) 833-9828
Fax
(718) 833-9827
NPI assigned
Sep 16, 2006
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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 241322 NY Primary

Addresses

Primary practice location

6018 7TH Ave
Brooklyn, NY 11220-4105

Mailing address

8001 15TH Ave
1FL
Brooklyn, NY 11228-3117
Phone (718) 833-9828

Other identifiers 2

IdentifierTypeStateIssuer
02836762MedicaidNY
241322OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070829000474 NY Practitioner - Internal Medicine 1153414669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6018 7TH Ave
Brooklyn, NY 11220-4105
Phone (718) 833-9828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241322NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lih Lih Wu Medical P.C. Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wang's Medical P.C. PastSince Dec 24, 2016 Accepting new patients

Locations

6018 7th Ave
Brooklyn, NY 11220
Phone (718) 833-9828

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1417053240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 15TH AVE",
            "address_2": "1FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283117",
            "telephone_number": "718-833-9828",
            "fax_number": "718-833-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204105",
            "telephone_number": "718-833-9828",
            "fax_number": "718-833-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "LIH LIH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02836762",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "241322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.