Individual provider Active NPI

Pen Hou, M.D.

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1114960937
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00045554 Issued in WA
Practice address
17530 NE Union Hill Rd
Ste 140
Redmond, WA 98052-3387
Phone
(425) 310-6519
Fax
(425) 968-9839
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00045554 WA Primary

Addresses

Primary practice location

17530 NE Union Hill Rd
Ste 140
Redmond, WA 98052-3387

Mailing address

17530 NE Union Hill Rd
Ste 140
Redmond, WA 98052-3387
Phone (425) 310-6519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20051117000080 WA Practitioner - Family PracticePractitioner - Addiction MedicinePractitioner - Emergency Medicine 2567481781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Emergency Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17530 NE Union Hill Rd
Redmond, WA 98052-3388
Phone (425) 310-6519

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Home Health LLC PastSince Jun 2, 2024 Accepting new patients
Public Hospital District No.1 of Mason County Washington Family Medicine Past Accepting new patients
Public Hospital District No.1 of Mason County Washington Past Accepting new patients

Organizations & group practices 4

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1114960937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD",
            "address_2": "STE 140",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523387",
            "telephone_number": "425-310-6519",
            "fax_number": "425-968-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD",
            "address_2": "STE 140",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523387",
            "telephone_number": "425-310-6519",
            "fax_number": "425-968-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOU",
        "first_name": "PEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.