Active NPI
Suying Wu, M.D.
- Neurology Physician
- Elkhart, IN
National Provider Identifier
1669477816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01057107A
- Practice address
- 303 S Nappanee St
Elkhart, IN 46514-2066 - Phone
- (574) 296-3282
- Fax
- (574) 296-3324
- NPI assigned
- Jun 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01057107A | IN | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 01057107A | IN |
Addresses
Primary practice location
303 S Nappanee St
Elkhart, IN 46514-2066
Mailing address
PO Box 2968
Elkhart, IN 46515-2968
Phone (574) 296-3282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200414410A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
303 N Nappanee St
Elkhart, IN 46514-2066
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057107A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Riverpointe Cardiovascular Laboratory, LLC | Past | Accepting new patients |
Locations
303 S Nappanee St
Elkhart, IN 46514
Interoperability endpoints
- suying.wu@elkhartc.eclinicaldirectplus.com
- suying.wu.1@31626.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Elkhart, IN
- NPI 1013912286
-
- Multi-Specialty Clinic/Center
- Mishawaka, IN
- NPI 1235303165
-
- Family Nurse Practitioner
- Wakarusa, IN
- NPI 1568147809
-
- Ambulatory Surgical Clinic/Center
- Elkhart, IN
- NPI 1841393980
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1669477816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2968",
"city": "ELKHART",
"state": "IN",
"postal_code": "465152968",
"telephone_number": "574-296-3282",
"fax_number": "574-296-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S NAPPANEE ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142066",
"telephone_number": "574-296-3282",
"fax_number": "574-296-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "SUYING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01057107A",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "IN",
"license": "01057107A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200414410A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.