Individual provider Active NPI

Jennifer Ku Wu, M.D.

  • Gastroenterology Physician
  • Alexandria, VA
National Provider Identifier
1437324894
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101253602 Issued in VA
Practice address
4660 Kenmore Ave
Suite 100
Alexandria, VA 22304-1313
Phone
(703) 751-5763
Fax
(703) 370-8704
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101253602 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave
Suite 100
Alexandria, VA 22304-1313

Mailing address

PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717

Other names 1

  • Jennifer Ku Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20130628000466 DC Practitioner - Gastroenterology 4385884154 Reassigns benefits to 2 organizations
I20160623001958 VA Practitioner - Gastroenterology 4385884154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960

4660 Kenmore Ave
Suite 305
Alexandria, VA 22304-1306
Phone (703) 751-5763

4660 Kenmore Ave
Suite 810
Alexandria, VA 22304-1300
Phone (703) 823-0333

8316 Arlington Blvd
Suite 615
Fairfax, VA 22031-5204
Phone (703) 560-8877

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy82
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253602VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Apr 9, 2016 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2013 Accepting new patients
Gastroenterology Associates of Northern Virginia, LLC Gastroenterology CurrentSince Apr 1, 2026 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2013 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

4660 Kenmore Ave
Ste 305
Alexandria, VA 22304
Phone (703) 751-5763

4660 Kenmore Ave
Ste 100
Alexandria, VA 22304
Phone (703) 370-0400

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

8316 Arlington Blvd
Ste 615
Fairfax, VA 22031
Phone (703) 560-8877

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Organizations & group practices 5

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 1

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1437324894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17334",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212971334",
            "telephone_number": "703-443-6717",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-751-5763",
            "fax_number": "703-370-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JENNIFER",
        "middle_name": "KU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101253602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KU",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.