Individual provider Active NPI

Theodore Lau, MD

  • Interventional Cardiology Physician
  • Tacoma, WA
National Provider Identifier
1205986312
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD00041200 Issued in WA
Practice address
1802 Yakima Ave Ste 307
Tacoma, WA 98405-5305
Phone
(253) 627-1244
Fax
(253) 627-3520
NPI assigned
Jan 11, 2007
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00041200 WA
Cardiovascular Disease Physician 207RC0000X MD00041200 WA
Interventional Cardiology Physician 207RI0011X MD00041200 WA Primary
Nuclear Cardiology Physician 207UN0901X MD00041200 WA

Addresses

Primary practice location

1802 Yakima Ave Ste 307
Tacoma, WA 98405-5305

Mailing address

1802 Yakima Ave Ste 307
Tacoma, WA 98405-5305
Phone (253) 627-1244

Other identifiers 7

IdentifierTypeStateIssuer
P00008350OtherWARAILROAD MEDICARE
1004592MedicaidWA
4751LAOtherWAREGENCE
1708LAOtherWAREGENCE
0168601OtherWADEPARTMENT OF L&I
1802LAOtherWAREGENCE
1300LAOtherWAREGENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlau17388@fhsce.catholichealth.net Direct Franciscan Medical Group

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
I20100901000279 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8224152954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

11307 Bridgeport Way SW
Lakewood, WA 98499-3024

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341

1450 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

1608 S J St
Tacoma, WA 98405-4930

1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

1802 Yakima Ave
Tacoma, WA 98405-5305
Phone (253) 627-1244

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jul 1, 2011 Accepting new patients
Franciscan Medical Group CurrentSince Jul 1, 2011 Accepting new patients
Cardiac Health Specialists PS Specialist Past Accepting new patients
Commonspirit Washington Past Accepting new patients

Locations

1802 Yakima Ave
Ste 302
Tacoma, WA 98405
Phone (253) 591-6739

1802 Yakima Ave
Ste 307
Tacoma, WA 98405
Phone (206) 627-1244

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: tlau17388@fhsce.catholichealth.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1205986312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 307",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055305",
            "telephone_number": "253-627-1244",
            "fax_number": "253-627-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 307",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055305",
            "telephone_number": "253-627-1244",
            "fax_number": "253-627-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00041200",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00041200",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD00041200",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "WA",
            "license": "MD00041200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00008350",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004592",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4751LA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1708LA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF L&I",
            "identifier": "0168601",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1802LA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1300LA",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlau17388@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 Yakima Ave Ste 307",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.