Individual provider Active NPI

Lisa Vu, M.D.

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1174783302
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60464650 Issued in WA
Practice address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60464650 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 4

IdentifierTypeStateIssuer
G8933571OtherWAMEDICARE PTAN
2039040MedicaidWA
0365215OtherWAL&I RADIA-KING COUNTY
0365214OtherWAL&I RADIA-REST OF WA

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
I20141006001957 WA Practitioner - Diagnostic Radiology 3870713209 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 339-3930

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60464650WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Washington Health Services Association Current Accepting new patients
Swedish Health Services CurrentSince May 21, 2018 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Nov 6, 2014 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Swedish Health Services CurrentSince Nov 1, 2015 Accepting new patients
Swedish Health Services CurrentSince Nov 1, 2015 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 1, 2019 Accepting new patients
Swedish Health Services CurrentSince Nov 1, 2015 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 1, 2019 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Swedish Health Services CurrentSince Nov 1, 2015 Accepting new patients
Wenatchee Valley Hospital CurrentSince Oct 1, 2017 Accepting new patients
Central Washington Health Services Association CurrentSince Oct 1, 2022 Accepting new patients
Multicare Health System Past Accepting new patients

Locations (25 of 96)

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990

19 N 7th St
Cheney, WA 99004
Phone (509) 235-6151

11245 State Route 525
Clinton, WA 98236
Phone (360) 341-5252

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

20 E J St
Deer Park, WA 99006
Phone (509) 276-8012

7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

3216 Norton Ave
Ste 201
Everett, WA 98201
Phone (425) 258-4624

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

3927 Rucker Ave
Ste 202
Everett, WA 98201

3726 Broadway
Ste 201
Everett, WA 98201
Phone (425) 317-9119

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1174783302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60464650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8933571",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039040",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I RADIA-KING COUNTY",
            "identifier": "0365215",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I RADIA-REST OF WA",
            "identifier": "0365214",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.