Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fan Wu, DO

Individual provider Hospitalist Physician · NPI 1174101000

Fan Wu, DO is a Hospitalist in Trinity, Florida. Qualified in 2021, 5 years ago. Practices with Beth Israel Lahey Health Primary Care, Inc, a 353-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

9330 State Road 54
Trinity, FL 34655-1808
Phone: (727) 834-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 Herrick St, Beverly, MA 01915-1790 — (978) 922-3000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 1021109 (MA)

Record details

NPI number1174101000
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 31, 2021
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address9330 State Road 54, Trinity, FL 34655-1808

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Beth Israel Lahey Health Primary Care, Inc — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare