Individual provider Active NPI

Thanh Ngoc Vu, D.O.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1811085590
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-28430 Issued in KS
Practice address
2604 E Central Ave
Suite B
Wichita, KS 67214-4679
Phone
(316) 684-9900
Fax
(316) 684-9901
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-28430 KS Primary

Addresses

Primary practice location

2604 E Central Ave
Suite B
Wichita, KS 67214-4679

Mailing address

2604 E Central Ave
Suite B
Wichita, KS 67214-4679
Phone (316) 684-9900

Other identifiers 1

IdentifierTypeStateIssuer
100345240BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050502000871 KS Practitioner - Osteopathic Manipulative Medicine 0244279990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2604 E Central Ave
Suite B
Wichita, KS 67214-4680
Phone (316) 686-9900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-28430KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vu Medical Clinic, P.a. Family Medicine CurrentSince Aug 21, 2001 Accepting new patients

Locations

2604 E Central Ave
Ste B
Wichita, KS 67214
Phone (316) 684-9900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBHBA/Endpoint/CEBHBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1811085590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144679",
            "telephone_number": "316-684-9900",
            "fax_number": "316-684-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 E CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144679",
            "telephone_number": "316-684-9900",
            "fax_number": "316-684-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "THANH",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-28430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100345240B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.