Individual provider Active NPI

Diem N Wu, M.D.

  • Dermatology Physician
  • Henrico, VA
National Provider Identifier
1831209550
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200500853 Issued in NC
Practice address
7813 Shrader Rd
Henrico, VA 23294-4210
Phone
(804) 264-4545
Fax
(804) 264-4545
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200500853 NC Primary

Addresses

Primary practice location

7813 Shrader Rd
Henrico, VA 23294-4210

Mailing address

7813 Shrader Rd
Henrico, VA 23294-4210
Phone (804) 264-4545

Other identifiers 1

IdentifierTypeStateIssuer
5901551MedicaidNC

Other names 1

  • Diem B Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20081230000529 VA Practitioner - Dermatology 6002848918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine S Rausch MD PCGroup PAC ID 8123046497, 9 clinicians

Practice addresses (Care Compare)

7813 Shrader Rd
Richmond, VA 23294-4210
Phone (804) 282-4940

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of skin lesions949
Removal or shaving of skin growth55
Skin biopsy339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500853NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adov Dermatology CurrentSince Sep 1, 2021 Accepting new patients
Christine S. Rausch, MD PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

7813 Shrader Rd
Richmond, VA 23294
Phone (804) 264-4262

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1831209550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944210",
            "telephone_number": "804-264-4545",
            "fax_number": "804-264-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944210",
            "telephone_number": "804-264-4545",
            "fax_number": "804-264-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "DIEM",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200500853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901551",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIEM",
            "last_name": "NGUYEN",
            "middle_name": "B",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.