Active NPI
Shuang Fu, M.D.
- Hematology & Oncology Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 54538
- Practice address
- 720 W Forest Avenue
Jackson, TN 38301 - Phone
- (731) 541-9561
- Fax
- (731) 541-1829
- NPI assigned
- Aug 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 54538 | TN | Primary |
Addresses
Primary practice location
720 W Forest Avenue
Jackson, TN 38301
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160803000872 | TN | Practitioner - Hematology/Oncology | 9638463334 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 541-6834
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Dyersburg Regional Medical Center
- West Tennessee Healthcare Milan Hospital
- Volunteer Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.21 of 100
- Quality
- 64.19
- Improvement activities
- 40
- Cost
- 79.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54538 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Madison County General Hospital | Current | Accepting new patients | |
| Jackson Madison County General Hospital | Current | Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
24 Physicians Dr
Cookeville, TN 38505
322 Hospital Blvd
Jackson, TN 38305
Phone (731) 668-1668
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
720 W Forest Ave
Jackson, TN 38301
Phone (731) 541-5087
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1891687208
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1730495342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-425-5752",
"fax_number": "731-425-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W FOREST AVENUE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38301",
"telephone_number": "731-541-9561",
"fax_number": "731-541-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FU",
"first_name": "SHUANG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "54538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.