Individual provider Active NPI

Wei-Lung Sam Wu, MD

  • Nephrology Physician
  • Erie, PA
National Provider Identifier
1922149350
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD431481 Issued in PA
Practice address
Saint Vincent Professional Building
311 West 24 Street, Suite 402
Erie, PA 16502
Phone
(814) 453-6687
Fax
(814) 456-4676
NPI assigned
Feb 9, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD431481 PA Primary

Addresses

Primary practice location

Saint Vincent Professional Building
311 West 24 Street, Suite 402
Erie, PA 16502

Mailing address

Saint Vincent Professional Building
311 West 24 Street, Suite 402
Erie, PA 16502
Phone (814) 453-6687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090714000242 PA Practitioner - NephrologyPractitioner - Internal Medicine 4082766548 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology PC Nephrology CurrentSince Jul 1, 2009 Accepting new patients

Locations

311 W 24th St
Ste 402
Erie, PA 16502
Phone (814) 453-6687

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1922149350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAINT VINCENT PROFESSIONAL BUILDING",
            "address_2": "311 WEST 24 STREET, SUITE 402",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16502",
            "telephone_number": "814-453-6687",
            "fax_number": "814-456-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT VINCENT PROFESSIONAL BUILDING",
            "address_2": "311 WEST 24 STREET, SUITE 402",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16502",
            "telephone_number": "814-453-6687",
            "fax_number": "814-456-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "WEI-LUNG SAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD431481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.