Individual provider Active NPI

Roger Wu, M.D.

  • Emergency Medicine Physician
  • Providence, RI
National Provider Identifier
1801156799
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LP02551 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-4247
Fax
(401) 444-6662
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LP02551 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, UT, MA, HI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160816002708 CA Practitioner - Emergency Medicine 9537386750 Reassigns benefits to 4 organizations
I20230627000135 WA Practitioner - Emergency Medicine 9537386750 Reassigns benefits to 2 organizations
I20250731002006 UT Practitioner - Emergency Medicine 9537386750 Reassigns benefits to 1 organization
I20260407000381 MA Practitioner - Emergency Medicine 9537386750 Reassigns benefits to 1 organization
I20260424002746 HI Practitioner - Emergency Medicine 9537386750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Emergency PhysiciansGroup PAC ID 1153307277, 151 clinicians

Practice addresses (Care Compare)

46 Hillsdale Mall
San Mateo, CA 94403-3407
Phone (650) 769-5612

5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Phone (801) 507-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Jun 1, 2023 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Utah Emergency Physicians Emergency Medicine CurrentSince May 17, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jun 1, 2023 Accepting new patients
Carbon Health Medical Group of Washington PC CurrentSince Nov 11, 2025 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Aug 15, 2016 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Oct 24, 2019 Accepting new patients
Carbon Health Primary Care of California PC CurrentSince Jul 15, 2022 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients

Locations (25 of 38)

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

2920 Telegraph Ave
Berkeley, CA 94705
Phone (510) 649-9870

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971

4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

2110 W Sunset Blvd
Ste M
Los Angeles, CA 90026
Phone (510) 686-3621

6160 Laurel Canyon Blvd
Ste 160
North Hollywood, CA 91606
Phone (213) 267-6536

2100 Franklin St
Ste 355
Oakland, CA 94612
Phone (415) 446-1733

411 Grand Ave
Oakland, CA 94610
Phone (510) 465-3668

600 E Colorado Blvd
Ste 120
Pasadena, CA 91101
Phone (323) 301-7988

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

4112 E Commerce Way
Sacramento, CA 95834
Phone (916) 389-2725

1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766

1998 Market St
San Francisco, CA 94102
Phone (415) 651-3558

2131 Irving St
San Francisco, CA 94122
Phone (415) 231-2546

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1353 Washington Ave
Ste D2
San Leandro, CA 94577
Phone (510) 608-4836

46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

4550 Van Nuys Blvd
Ste A4
Sherman Oaks, CA 91403
Phone (818) 230-2938

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1801156799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4247",
            "fax_number": "401-444-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4247",
            "fax_number": "401-444-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "LP02551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.