Individual provider Active NPI

Paul Luu, MD

  • Plastic Surgery Physician
  • Seattle, WA
National Provider Identifier
1124100672
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD000032942 Issued in WA
Practice address
5420 Rainier Ave South
Seattle, WA 98118-2439
Phone
(206) 723-2889
Fax
(206) 723-4939
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD000032942 WA Primary

Addresses

Primary practice location

5420 Rainier Ave South
Seattle, WA 98118-2439

Mailing address

5420 Rainier Ave South
Seattle, WA 98118-2439
Phone (206) 723-2889

Other identifiers 1

IdentifierTypeStateIssuer
1095132MedicaidWA

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
I20040412001389 WA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 5799779880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5420 Rainier Ave S
Seattle, WA 98118-2439

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9136LAMDMental Health Counselor
MD000032942WAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Luu PS Inc Plastic Surgery CurrentSince Oct 27, 2012 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients

Locations

5420 Rainier Ave S
Seattle, WA 98118
Phone (203) 723-2889

Interoperability endpoints

  • Direct secure messaging: pluu257184@direct.ehre.uwmedicine.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1124100672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 RAINIER AVE SOUTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182439",
            "telephone_number": "206-723-2889",
            "fax_number": "206-723-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 RAINIER AVE SOUTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182439",
            "telephone_number": "206-723-2889",
            "fax_number": "206-723-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD000032942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1095132",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.