Individual provider Active NPI

David W Wu, M.D.

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1477538874
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036107738 Issued in IL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 334-5566
Fax
(815) 759-4008
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2001002823 MO
Diagnostic Radiology Physician 2085R0202X 036107738 IL Primary

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 334-5566

Other practice location 1

9930 Watson Rd
Saint Louis, MO 63126-1845
Phone (314) 984-8827

Other identifiers 13

IdentifierTypeStateIssuer
1601306OtherMOUHC
462197OtherMOHEALTHLINK
431142188OSUOtherMERCY
300122906OtherTRAVELERS
000000014047OtherMOESSENCE
140376000OtherDEPT OF LABOR
283240OtherMOGHP
08221955OtherILILLINOIS BLUE
08221955OtherMOBLUE SHIELD
144352OtherMOBCBS
2207727OtherMOCIGNA
34311V3431OtherMOHEALTHCARE USA
205715006MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, NH, WV, KY, MI6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20040407000298 MO Practitioner - Diagnostic Radiology 4385637180 Reassigns benefits to 7 organizations
I20060915000414 IL Practitioner - Diagnostic Radiology 4385637180
I20200701003029 NH Practitioner - Diagnostic Radiology 4385637180 Reassigns benefits to 1 organization
I20200804000667 WV Practitioner - Radiation Oncology 4385637180 Reassigns benefits to 2 organizations
I20230424001582 KY Practitioner - Diagnostic Radiology 4385637180 Reassigns benefits to 1 organization
I20260508000410 MI Practitioner - Diagnostic Radiology 4385637180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Radiologists IncGroup PAC ID 0840241907, 25 clinicians
The Bellevue HospitalGroup PAC ID 6800863952, 10 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Midwest Imaging SpecialistsGroup PAC ID 0244577443, 5 clinicians
Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians
Radiology and Imaging Management Services, LLCGroup PAC ID 5698822948, 4 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63128
Phone (740) 348-5545

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

201 S Mount Auburn Rd
Suite B
Cape Girardeau, MO 63703-4912
Phone (573) 381-0790

454 McDowell St
Welch, WV 24801-2029
Phone (304) 436-8685

9930 Watson Rd
Saint Louis, MO 63126-1845
Phone (314) 984-8827

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
79.66
Promoting interoperability
98
Improvement activities
40
Cost
76.57

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107738ILMDDiagnostic Radiology Physician
2001002823MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Imaging Center, LLC CurrentSince Apr 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Imaging Center of Alton, LLC CurrentSince Aug 31, 2023 Accepting new patients
Midwest Imaging Specialists CurrentSince Jan 25, 2022 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Radiology and Imaging Management Services, LLC CurrentSince Jan 9, 2009 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Dec 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Professional Imaging Columbia, LLC Diagnostic Radiology CurrentSince Apr 6, 2026 Accepting new patients
The Bellevue Hospital CurrentSince Mar 23, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 1, 2020 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 1, 2020 Accepting new patients
Tri-County Radiologists, Inc. Diagnostic Radiology CurrentSince Feb 2, 2025 Accepting new patients
MRI of Springfield, Inc CurrentSince Mar 11, 2020 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince Aug 18, 2024 Accepting new patients
Midwest Imaging Center II, LLC CurrentSince Mar 1, 2015 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
South County Radiologists, Inc Diagnostic Radiology Past Accepting new patients
Sheridan Community Hospital Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

14825 North Outer 40 Rd
Ste 110
Chesterfield, MO 63017
Phone (636) 449-3990

201 S Mount Auburn Rd
Ste B
Cpe Girardeau, MO 63703
Phone (573) 381-0790

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

5000 Cedar Plaza Pkwy
Ste 110
Saint Louis, MO 63128
Phone (314) 722-2626

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

2000 Tamarack Rd
Newark, OH 43055
Phone (740) 788-6000

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Interoperability endpoints

  • Direct secure messaging: david.wu.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1477538874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631261845",
            "country_code": "US",
            "telephone_number": "314-984-8827",
            "fax_number": "314-984-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2001002823",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036107738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1601306",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "462197",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "431142188OSU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS",
            "identifier": "300122906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "000000014047",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "140376000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "283240",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BLUE",
            "identifier": "08221955",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "08221955",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "144352",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2207727",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "34311V3431",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205715006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.