Individual provider Active NPI

Joseph Vu

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1871106435
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1819 Carew St
Fort Wayne, IN 46805-4705
Phone
(260) 702-8064
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1819 Carew St
Fort Wayne, IN 46805-4705

Mailing address

130 W Creighton Ave Apt 3a
Fort Wayne, IN 46807-1364
Phone (574) 340-5921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421001623 IN Practitioner - Physician Assistant 2567859580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians

Practice addresses (Care Compare)

15010 Chopine Pass
Roanoke, IN 46783-9339
Phone (260) 432-1568

5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568

7467 Flutter Rd
Fort Wayne, IN 46835-9238
Phone (260) 432-1568

7950 W Jefferson Blvd
Lutheran Hospital of Fort Wayne
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7952 W Jefferson Blvd
Orthopaedic Hospital of Lutheran Network
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7956 W Jefferson Blvd
120 Allied Imaging II
Fort Wayne, IN 46804-4140
Phone (260) 436-2416

7970 W Jefferson Blvd
Rehabilitation Hospital of Fort Way
Fort Wayne, IN 46804-4140
Phone (260) 435-6142

7988 W Jefferson Blvd
Summit Radiology/Womens Health Adva
Fort Wayne, IN 46804-4140
Phone (260) 432-1568

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
92.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1871106435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W CREIGHTON AVE APT 3A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071364",
            "telephone_number": "574-340-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CAREW ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054705",
            "telephone_number": "260-702-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.