Active NPI
Jessica Wu
- Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 100514
- Practice address
- 1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029 - Phone
- (713) 397-2832
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Surgery Physician | 208600000X | 100514 | GA | Primary |
Addresses
Primary practice location
1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Mailing address
1365 Clifton Rd NE FL 4
Atlanta, GA 30322-1013
Phone (404) 778-3712
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Texas Medical Branch at Galveston, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100514 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Surgery | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Surgery | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1365 Clifton Rd NE
Fl 4
Atlanta, GA 30322
Phone (404) 778-2010
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880
5910 Hillandale Dr
Lithonia, GA 30058
Phone (404) 501-8733
5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
146 E Hospital Dr
Ste 205
Angleton, TX 77515
Phone (281) 277-5200
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
1005 Harborside Dr
Fl 5
Galveston, TX 77555
Phone (409) 747-3376
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
215 Oak Dr S
Ste B
Lake Jackson, TX 77566
Phone (979) 266-9544
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
1600 W League City Pkwy
Ste A
League City, TX 77573
Phone (832) 632-5222
2280 Gulf Fwy S
Fl 2
League City, TX 77573
Phone (281) 338-0829
200 Blossom St
Webster, TX 77598
Phone (281) 252-7000
250 Blossom St
Fl 4
Webster, TX 77598
Phone (409) 772-3695
Interoperability endpoints
- jwu913092@direct.emory.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1972008688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE FL 4",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CLINIC TOWER, SUITE A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "713-397-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "100514",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "6041 Cadillac Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900341702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.