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DEREK WU
NPI 1922494020
Otolaryngology in Brooklyn, NY

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVE # 1262, SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY 11203(718) 270-8867 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, Oct 11, 2021, Jun 13, 2020 (3 updates tracked since 2020).

About Derek Wu NPPES

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

DEREK WU (NPI 1922494020) is an individual otolaryngology provider in Brooklyn, New York, licensed in Illinois (036150776) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2015).

NPPES Registry Identity

NPI1922494020
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDEREK WU
Location Address450 CLARKSON AVE # 1262, SUNY DOWNSTATE MEDICAL CENTERBrooklyn, NY 11203-2012
Mailing AddressPhr Group Provider Enrollment Unit, 393 E Walnut St Gpeu Fl 3scpmgPasadena, CA 91188-0001 · (877) 608-0044
Phone(718) 270-8867
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1922494020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036150776
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
450 CLARKSON AVE # 1262, Brooklyn, NY 11203
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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

Derek Wu 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 ID9931442829
PECOS Enrollment IDI20211015002004
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 Reassignment

Medicare enrollment records show Derek Wu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,430 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

RIZA SEIT MD
Radiology (Diagnostic Radiology)
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
CUONG LE M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
DR. MUHAMMAD IHSAN MD
Internal Medicine (Interventional Cardiology)
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
JIHAE LEE
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
CHANDANA DAS M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
ROBERT CHIARAMONTE MD, PHD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867
DR. KERON CHRISTOPHER MATTHEW M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 1262, DEPARTMENT OF INTERNAL MEDICINE
BROOKLYN, NY 11203
Kings County (718) 270-8867
DR. NAVANEETHA KRISHNAN SHESHADRI M.D.
Internal Medicine (Cardiovascular Disease)
450 CLARKSON AVE # 1262
BROOKLYN, NY 11203
Kings County (718) 270-8867

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 Derek Wu's NPI number?

The NPI number for Derek Wu is 1922494020. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Derek Wu located?

Derek Wu practices at 450 Clarkson Ave # 1262 Suny Downstate Medical Center, Brooklyn, NY 11203. The listed phone number is (718) 270-8867.

What is Derek Wu's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Derek Wu enrolled in Medicare?

Yes. Derek 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 organization bills Medicare for Derek Wu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Wu reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Derek Wu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Derek Wu was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.