Active NPI
Thanh Ngoc Vu, D.O.
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1811085590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-28430
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100345240B | Medicaid | KS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05-28430 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vu Medical Clinic, P.a. | Family Medicine | Current | Accepting new patients |
Locations
2604 E Central Ave
Ste B
Wichita, KS 67214
Phone (316) 684-9900
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.