Individual provider Active NPI

Wan Tu, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1932762051
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
317717 Issued in NY
Practice address
13636 39TH Ave Ste 7
Flushing, NY 11354-5576
Phone
(347) 750-0000
Fax
(516) 203-8973
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 317717 NY Primary

Addresses

Primary practice location

13636 39TH Ave Ste 7
Flushing, NY 11354-5576

Mailing address

13636 39TH Ave Ste 7
Flushing, NY 11354-5576
Phone (347) 750-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220809002408 NY Practitioner - Internal Medicine 4486036340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13636 39TH Ave
Suite 7
Flushing, NY 11354-5576
Phone (718) 813-6391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317717NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Coast Medical PLLC Internal Medicine CurrentSince Feb 8, 2025 Accepting new patients
Sunny Friendly Medical PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

13636 39th Ave
Ste 7
Flushing, NY 11354
Phone (347) 827-9251

13621 Roosevelt Ave
Ste 409
Flushing, NY 11354
Phone (718) 888-9778

4199 Main St
Ste 201
Flushing, NY 11355
Phone (718) 961-1897

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1932762051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 39TH AVE STE 7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545576",
            "telephone_number": "347-750-0000",
            "fax_number": "516-203-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 39TH AVE STE 7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545576",
            "telephone_number": "347-750-0000",
            "fax_number": "516-203-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "WAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "317717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.