NPIMap

Individual provider Active NPI

Lan Wu

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1588117766
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007112 Issued in MD
Practice address
726 Rockville Pike
Rockville, MD 20852-1133
Phone
(240) 238-0411
Fax
(610) 402-5959
NPI assigned
Jul 25, 2016
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0007112 MD Primary
Medical Physician Assistant 363AM0700X MA058269 PA

Addresses

Primary practice location

726 Rockville Pike
Rockville, MD 20852-1133

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190514000819 DC Practitioner - Physician Assistant 1254627243 Reassigns benefits to 3 organizations
I20190514001131 MD Practitioner - Physician Assistant 1254627243 Reassigns benefits to 1 organization
I20190723002955 VA Practitioner - Physician Assistant 1254627243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone (703) 491-6167

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-5928

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007112MDMDPhysician Assistant
MA058269PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Group LLC CurrentSince Feb 14, 2025 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 15, 2025 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 14, 2025 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 14, 2025 Accepting new patients
Synergy Medical Group LLC CurrentSince Feb 11, 2025 Accepting new patients
Synergy Medical Group LLC CurrentSince Feb 11, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

Organizations & group practices 10

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.

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1588117766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521133",
            "telephone_number": "240-238-0411",
            "fax_number": "610-402-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "LAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007112",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.