Individual provider Active NPI

Brian H Ngo, D.O.

  • Anesthesiology Physician
  • Longview, WA
National Provider Identifier
1174743348
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OP60081740 Issued in WA
Practice address
1615 Delaware St
Longview, WA 98632-2367
Phone
(360) 636-4878
Fax
(360) 414-7638
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101016419 MI
Anesthesiology Physician 207L00000X 20A10834 CA
Anesthesiology Physician 207L00000X OP60081740 WA Primary

Addresses

Primary practice location

1615 Delaware St
Longview, WA 98632-2367

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI, AZ3 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
I20091002000268 WA Practitioner - Anesthesiology 8921144007 Reassigns benefits to 3 organizations
I20120426000052 MI Practitioner - Anesthesiology 8921144007 Reassigns benefits to 2 organizations
I20231108001984 AZ Practitioner - Anesthesiology 8921144007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522

721 N Shiawassee St
Owosso, MI 48867-1632

826 W King St
Owosso, MI 48867-2120

8333 Felch St
Zeeland, MI 49464-2608

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10834CAMDAnesthesiology Physician
5101016419MIMDAnesthesiology Physician
OP60081740WAMDAnesthesiology Physician
10834CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC CurrentSince Sep 17, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Mar 14, 2025 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Jun 16, 2025 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Grays Harbor Community Hospital CurrentSince Mar 14, 2025 Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince May 8, 2023 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 14, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Anesthesiology CurrentSince Aug 14, 2023 Accepting new patients
Rainier Anesthesia Associates PC Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Tall Grass Anesthesia Services, LLC Past Accepting new patients
Advanced Practice Associates LLC PastSince Nov 22, 2020 Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

Interoperability endpoints

  • Direct secure messaging: bngo434466@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 5

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1174743348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-636-4878",
            "fax_number": "360-414-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "BRIAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101016419",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A10834",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "OP60081740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.