Individual provider Active NPI

Yiqun Wu, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1417920281
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3880 Issued in TX
Practice address
11888 Marsh LN
#104
Dallas, TX 75234-8083
Phone
(972) 488-9222
Fax
(972) 488-0625
NPI assigned
Feb 10, 2006
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L3880 TX
Family Medicine Physician 207Q00000X L3880 TX Primary

Addresses

Primary practice location

11888 Marsh LN
#104
Dallas, TX 75234-8083

Mailing address

11910 Greenville Ave
#500
Dallas, TX 75243-3596
Phone (214) 572-1124

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
I20040401001471 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1850383498 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3880TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jan 12, 2014 Accepting new patients
Legacy Urgent Care, PA CurrentSince Jul 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jan 12, 2014 Accepting new patients
Central Seniors Inc Past Accepting new patients
Cardiology Clinic of Muskogee, Inc. Past Accepting new patients
Primacare Medical Centers Family Medicine Past Accepting new patients
Shawnee Trail Emergency Physicians Emergency Medicine Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Emcare-Dtxemergency Physicians PLLC Emergency Medicine Past Accepting new patients
Clinica Medica de Dallas, P.a. Family Medicine Past Accepting new patients
Red River Emergency Medicine Associates PA Emergency Medicine PastSince Aug 1, 2006 Accepting new patients
East Texas Medical Center Healthcare Associates Emergency Medicine Past Accepting new patients
Campion Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Collin Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
East Texas Medical Center-Clarksville Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Emergis ER Coit, LLC Past Accepting new patients
Weiguo Zhou, MD, PA Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients

Locations

705 E Greenwood Ave
Bowie, TX 76230
Phone (940) 872-1126

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1417920281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE",
            "address_2": "#500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433596",
            "telephone_number": "214-572-1124",
            "fax_number": "214-572-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN",
            "address_2": "#104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-488-9222",
            "fax_number": "972-488-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "YIQUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L3880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.