Individual provider Active NPI

Jane Tuyet Luu, MD

  • Cardiovascular Disease Physician
  • Portland, OR
National Provider Identifier
1124281423
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD182537 Issued in OR
Practice address
1040 NW 22ND Ave Ste 660
Portland, OR 97210-3083
Phone
(503) 413-7162
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036133741 IL
Interventional Cardiology Physician 207RI0011X MD182537 OR
Interventional Cardiology Physician 207RI0011X MD-15947 HI
Cardiovascular Disease Physician 207RC0000X MD182537 OR Primary

Addresses

Primary practice location

1040 NW 22ND Ave Ste 660
Portland, OR 97210-3083

Mailing address

PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900

Other practice location 1

19260 SW 65th Ave Ste 420
Tualatin, OR 97062-5712
Phone (503) 692-0405

Other practice location 2

2222 NW Lovejoy St Ste 606
Portland, OR 97210-5104
Phone (503) 229-7554

Other practice location 3

2121 NE 139th St Ste 360
Vancouver, WA 98686-2316
Phone (360) 213-0085

Other practice location 4

500 N Columbia River Hwy
Saint Helens, OR 97051-1299
Phone (503) 229-7554

Other practice location 5

24900 SE Stark St Ste 103
Gresham, OR 97030-3381
Phone (503) 907-1101

Other identifiers 2

IdentifierTypeStateIssuer
2081769MedicaidWA
500727170MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150731014201 HI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 4587812664 Reassigns benefits to 2 organizations
I20170717003387 OR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4587812664 Reassigns benefits to 4 organizations
I20170912001290 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587812664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, shared by 9 NPIs, 138 clinicians
Hilo Benioff Medical CenterGroup PAC ID 1254422900, shared by 4 NPIs, 131 clinicians

Practice addresses (Care Compare)

1 Kamani St
Pahala, HI 96777
Phone (808) 932-4370

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

PO Box
Pahala, HI 96777

Hospital & facility affiliations

  • Kau Hospital Hospital, Pahala, HI, CCN 121301
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting35
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-15947HIMDInterventional Cardiology Physician
MD182537ORMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Dec 17, 2017 Accepting new patients
Kau Hospital CurrentSince Jun 17, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 17, 2024 Accepting new patients
Legacy Salmon Creek Hospital Current Accepting new patients
Legacy Clinics LLC CurrentSince May 31, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince May 26, 2018 Accepting new patients
Naperville Psychiatric Ventures Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 22, 2017 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 17, 2024 Accepting new patients
Kau Hospital CurrentSince Jun 17, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 22, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 18, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 18, 2017 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince May 26, 2018 Accepting new patients
Legacy Clinics LLC CurrentSince May 31, 2024 Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

24900 SE Stark St
Ste 103
Gresham, OR 97030
Phone (503) 665-4278

2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

500 N Highway
Saint Helens, OR 97051
Phone (503) 229-7554

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2121 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 213-0085

2121 NE 139th St
#360
Vancouver, WA 98686
Phone (360) 892-5701

Networks

  • HI PPO

Interoperability endpoints

  • Direct secure messaging: jluu388693@direct.peacehealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1124281423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777",
            "telephone_number": "503-413-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE STE 660",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103083",
            "telephone_number": "503-413-7162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19260 SW 65th Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970625712",
            "country_code": "US",
            "telephone_number": "503-692-0405",
            "fax_number": "503-692-7978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 NW Lovejoy St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972105104",
            "country_code": "US",
            "telephone_number": "503-229-7554",
            "fax_number": "503-274-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 NE 139th St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862316",
            "country_code": "US",
            "telephone_number": "360-213-0085",
            "fax_number": "360-213-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Columbia River Hwy",
            "address_purpose": "LOCATION",
            "city": "Saint Helens",
            "state": "OR",
            "postal_code": "970511299",
            "country_code": "US",
            "telephone_number": "503-229-7554",
            "fax_number": "503-248-4666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24900 SE Stark St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303381",
            "country_code": "US",
            "telephone_number": "503-907-1101",
            "fax_number": "503-907-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "JANE",
        "middle_name": "TUYET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036133741",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD182537",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD-15947",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD182537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2081769",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500727170",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.