Individual provider Active NPI

Frederick Y. Wu, M.D.

  • Psychiatry Physician
  • Vienna, VA
National Provider Identifier
1538196126
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M040999 Issued in DC
Practice address
2110 Gallows Rd Ste D
Vienna, VA 22182-3962
Phone
(703) 592-4600
NPI assigned
Jun 27, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1036331 MD
Psychiatry Physician 2084P0800X 0101255090 VA
Psychiatry Physician 2084P0800X M040999 DC Primary

Addresses

Primary practice location

2110 Gallows Rd Ste D
Vienna, VA 22182-3962

Mailing address

2110 Gallows Rd Ste D
Vienna, VA 22182-3962
Phone (703) 592-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20140218001495 DC Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3173752003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goyal Medpsych IncGroup PAC ID 3375978984, 25 clinicians

Practice addresses (Care Compare)

2110 Gallows Rd
Suite D
Vienna, VA 22182-3962
Phone (703) 592-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M040999DCMDPsychiatry Physician
1036331MDMDPsychiatry Physician
0101255090VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goyal Medpsych Inc Psychiatry CurrentSince Oct 1, 2024 Accepting new patients

Locations

2110 Gallows Rd
Ste D
Vienna, VA 22182
Phone (703) 592-4600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1538196126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 GALLOWS RD STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-592-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 GALLOWS RD STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-592-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "FREDERICK",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "1036331",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101255090",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "M040999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.