Active NPI
Vu Medical Clinic, P.a.
- Family Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-28430
- Legal business name
- VU MEDICAL CLINIC, P.A.
- Practice address
- 2604 E Central Ave
Suite B
Wichita, KS 67214-4679 - Phone
- (316) 684-9900
- Fax
- (316) 684-9901
- NPI assigned
- Aug 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thanh Ngoc Vu, D.O.
- Title
- President
- Phone
- (316) 684-9900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-28430 | KS | Primary |
Addresses
Primary practice location
2604 E Central Ave
Suite B
Wichita, KS 67214-4679
Mailing address
2604 E Central Ave
Suite B
Wichita, KS 67214-4679
Phone (316) 684-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080908000315 | KS | Part B Supplier - Clinic/Group Practice | 6608942123 |
Receives reassigned benefits from 1 practitioner Practice locations: Wichita, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0991359 | Vu Medical Clinic, PA | Provider-performed microscopy | Sep 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
2604 E Central Ave
Ste B
Wichita, KS 67214
Phone (316) 684-9900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1457517815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 E CENTRAL AVE",
"address_2": "SUITE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144679",
"telephone_number": "316-684-9900",
"fax_number": "316-684-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 E CENTRAL AVE",
"address_2": "SUITE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144679",
"telephone_number": "316-684-9900",
"fax_number": "316-684-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VU MEDICAL CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "THANH",
"authorized_official_middle_name": "NGOC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-684-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "05-28430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.