Individual provider Active NPI

Fangbai Wu, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1790074524
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35128075 Issued in OH
Practice address
9500 Euclid Ave # Deska21
Cleveland, OH 44195-3442
Phone
(216) 444-4844
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35128075 OH Primary

Addresses

Primary practice location

9500 Euclid Ave # Deska21
Cleveland, OH 44195-3442

Mailing address

3300 Elsmere Rd
Shaker Heights, OH 44120-3442

Other practice location 1

3300 Elsmere Rd
Shaker Heights, OH 44120-3442
Phone (423) 943-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160726002617 OH Practitioner - Diagnostic Radiology 3476846601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
East Tennessee State University Quillen College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 476-7000

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35128075OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Midlands Family Medicine PastSince Feb 1, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
#21
Cleveland, OH 44195
Phone (216) 444-9043

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 5

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1790074524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ELSMERE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # DESKA21",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953442",
            "telephone_number": "216-444-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Elsmere Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441203442",
            "country_code": "US",
            "telephone_number": "423-943-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "FANGBAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35128075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.