Individual provider Active NPI

John C Wu, M.D.

  • Orthopaedic Hand Surgery Physician
  • Glendale, WI
National Provider Identifier
1629417043
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
72418-020 Issued in WI
Practice address
525 W River Woods Pkwy Ste 230
Glendale, WI 53212-1010
Phone
(414) 453-7418
Fax
(414) 967-1151
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 72418-020 WI
Orthopaedic Hand Surgery Physician 207XS0106X 72418-020 WI Primary

Addresses

Primary practice location

525 W River Woods Pkwy Ste 230
Glendale, WI 53212-1010

Mailing address

525 W River Woods Pkwy Ste 230
Glendale, WI 53212-1010
Phone (414) 453-7418

Other practice location 1

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 520-5000

Other practice location 2

1211 Union Ave Ste 510
Memphis, TN 38104-6656
Phone (901) 759-3274

Other identifiers 2

IdentifierTypeStateIssuer
1629417043MedicaidWA
72418OtherWISTATE OF WISCONSIN MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190122000669 TN Practitioner - Orthopedic Surgery 1355572215 Reassigns benefits to 1 organization
I20200826002693 WI Practitioner - Orthopedic Surgery 1355572215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, 289 clinicians
Hand to Shoulder Specialists of Wisconsin LTDGroup PAC ID 7911914866, 5 clinicians

Practice addresses (Care Compare)

10222 74TH St
Kenosha, WI 53142-6810
Phone (262) 925-5020

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 453-7418

2500 N Mayfair Rd
Suite 670
Milwaukee, WI 53226-1444
Phone (414) 453-7418

5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone (419) 221-6717

525 W River Woods Pkwy
Suite 230
Glendale, WI 53212-1010
Phone (414) 453-7418

Hospital & facility affiliations

  • Orthopaedic Hospital of Wisconsin Hospital, Glendale, WI, CCN 520194
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jwu@hsl1912.srs-direct.com

Organizations & group practices 6

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.

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1629417043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 230",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-453-7418",
            "fax_number": "414-967-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 230",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-453-7418",
            "fax_number": "414-967-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98195",
            "country_code": "US",
            "telephone_number": "206-520-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Union Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046656",
            "country_code": "US",
            "telephone_number": "901-759-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "72418-020",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "WI",
            "license": "72418-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629417043",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN MEDICAL LICENSE",
            "identifier": "72418",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.