SOU-PAN WU MD
NPI 1114993961
Internal Medicine - Rheumatology in Woodbury, MN

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
4040 RADIO DR, WOODBURY, MN 55129(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sou-pan Wu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOU-PAN WU MD (NPI 1114993961) is an individual rheumatology provider in Woodbury, Minnesota, licensed in Minnesota (48087) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1114993961
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSOU-PAN WUCredential: MD
Location Address4040 RADIO DRWoodbury, MN 55129-3237
Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600
Fax(651) 439-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
✔ NPI 1114993961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in MN · 48087✔ Licensed in WI · 42668
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4040 RADIO DR, Woodbury, MN 55129

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sou-pan Wu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931137213
PECOS Enrollment IDI20050728000378, I20180905003853
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sou-pan Wu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
8325 SEASONS PKWY, STE 103
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1427420181 (Wisconsin)
  • 2,274 clinicians in this Medicare group
Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
1,650 services16 patients
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg Q5104
Infliximab-abda (Renflexis) is a biosimilar medication given via injection. It's used to treat certain autoimmune conditions by reducing inflammation and immune system activity. The dosage is 10 mg.
500 services11 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
236 services80 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
228 services78 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
196 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services77 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Ladd Memorial Hospital

Critical Access Hospitals · Osceola, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521318
Location2600 65th AvenueOsceola, WI 54020 · Polk County
Emergency services

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4040 RADIO DR
WOODBURY, MN 55129
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4040 RADIO DR
WOODBURY, MN 55129
Internal Medicine (Rheumatology)
4040 RADIO DR
WOODBURY, MN 55129
Nurse Practitioner (Family)
4040 RADIO DR
WOODBURY, MN 55129
Physical Therapist
4040 RADIO DR
WOODBURY, MN 55129
Physical Therapist
4040 RADIO DR
WOODBURY, MN 55129
Physical Therapist
4040 RADIO DR
WOODBURY, MN 55129
Physical Therapist
4040 RADIO DR
WOODBURY, MN 55129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sou-pan Wu's NPI number?

The NPI number for Sou-pan Wu is 1114993961. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Sou-pan Wu located?

Sou-pan Wu practices at 4040 Radio Dr, Woodbury, MN 55129. The listed phone number is (651) 439-8807.

What is Sou-pan Wu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sou-pan Wu enrolled in Medicare?

Yes. Sou-pan Wu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sou-pan Wu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sou-pan Wu reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Woodbury, MN) and Infinite Health Collaborative, PA (Bloomington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sou-pan Wu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sou-pan Wu accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Sou-pan Wu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sou-pan Wu affiliated with any hospitals?

According to CMS data, Sou-pan Wu is affiliated with Lakeview Memorial Hospital, Regions Hospital, Amery Hospital & Clinic, Ladd Memorial Hospital and Hudson Hospital.

When was this NPI record last updated?

The NPPES record for Sou-pan Wu was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.