Willis Y Wu, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

14363 Issued in NV

Practice address

9920 W Cheyenne Ave
110
Las Vegas, NV 89129-7725

Phone

(702) 684-7246

NPI assigned

Jun 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Interventional Pain Management

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel L Burkhead MD LTDGroup PAC ID 8729084470, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: willis.wu@579.chartlogic.direct-ci.com

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.

• Daniel L. Burkhead, MD LTD

  dba Innovative Pain Care Center

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1942253075
  Medicare reassignment Care Compare group NPD
• Daniel L. Burkhead, M.D. LTD

  dba Innovative Pain Care Center

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1558789628
  NPD
• Woodward Ave., LLC

  dba dba Innovative Procedural and Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1568752202
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1669633046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 W CHEYENNE AVE",
            "address_2": "110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297725",
            "telephone_number": "702-684-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 W CHEYENNE AVE",
            "address_2": "110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297725",
            "telephone_number": "702-684-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "WILLIS",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "14363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suqing Wu
• Wei Qiong Wu
• Weilan Wu
• Wenwei Wu, MD
• William Wu
• Xia Wu
• Xiantuo Wu, M.D., PH.D.
• Xiaohong Wu
• Xin Yun Wu, APRN
• Xinli Wu

• Pain Medicine (Anesthesiology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine (Anesthesiology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.

Verify at the official NPI Registry.