Individual provider Active NPI

Jerry Tu, M.D.

  • Internal Medicine Physician
  • Maplewood, MN
National Provider Identifier
1477963734
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT206214 Issued in PA
Practice address
1575 Beam Ave
Maplewood, MN 55109
Phone
(651) 232-7000
NPI assigned
May 7, 2014
Last updated
May 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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 MT206214 PA Primary

Addresses

Primary practice location

1575 Beam Ave
Maplewood, MN 55109

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8772

Other practice location 1

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8772

Other practice location 2

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772

Other practice location 3

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 231-8772

Other identifiers 1

IdentifierTypeStateIssuer
103292841MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MN, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170628001085 PA Practitioner - HospitalistPractitioner - Internal Medicine 8921377326 Reassigns benefits to 2 organizations
I20180613000269 MN Practitioner - Internal Medicine 8921377326 Reassigns benefits to 6 organizations
I20210617002646 WA Practitioner - HospitalistPractitioner - Internal Medicine 8921377326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT206214PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Tower Health Medical Group CurrentSince Jun 18, 2017 Accepting new patients
Fairview Bethesda Hospital CurrentSince May 3, 2018 Accepting new patients
Virginia Mason Medical Center Internal Medicine CurrentSince Nov 11, 2021 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince May 3, 2018 Accepting new patients
Healtheast St. John's Hospital CurrentSince May 3, 2018 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Sep 25, 2018 Accepting new patients
Fairview Express Care CurrentSince Oct 30, 2019 Accepting new patients
Healtheast Care System CurrentSince May 3, 2018 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
Fairview Health Services CurrentSince Oct 30, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 25, 2018 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota Internal Medicine CurrentSince Apr 27, 2024 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Nov 11, 2021 Accepting new patients
Tower Health Medical Group CurrentSince Jun 18, 2017 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Swedish Health Services Past Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations (25 of 26)

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

1995 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2600

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Interoperability endpoints

  • Direct secure messaging: jtu768973@direct.peacehealth.org

Organizations & group practices 27

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 27

Hospital & facility affiliations 5

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1477963734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-232-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Technology Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170508522",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TU",
        "first_name": "JERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT206214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103292841",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.