Individual provider Active NPI

Tiong Hian Pouw, MD

  • Internal Medicine Physician
  • Olympia, WA
National Provider Identifier
1164534244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00027940 Issued in WA
Practice address
403 F Black Hills LN SW
Olympia, WA 98502
Phone
(360) 754-1676
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD14076 OR
Internal Medicine Physician 207R00000X MD00027940 WA Primary

Addresses

Primary practice location

403 F Black Hills LN SW
Olympia, WA 98502

Mailing address

403 F Black Hills LN SW
Olympia, WA 98502
Phone (360) 754-1676

Other names 1

  • Dr. T Hian Pouw Other name

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
I20101014000370 WA Practitioner - Internal Medicine 6305038944 Practice locations: Olympia, WA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
24.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14076ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Capital Medical Center LP Past Accepting new patients
Capital Medical Center Specialty Physicians, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164534244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 F BLACK HILLS LN SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 F BLACK HILLS LN SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUW",
        "first_name": "TIONG",
        "middle_name": "HIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD14076",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00027940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T HIAN",
            "last_name": "POUW",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.