Active NPI
Theodore Lau, MD
- Interventional Cardiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD00041200
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00008350 | Other | WA | RAILROAD MEDICARE |
| 1004592 | Medicaid | WA | |
| 4751LA | Other | WA | REGENCE |
| 1708LA | Other | WA | REGENCE |
| 0168601 | Other | WA | DEPARTMENT OF L&I |
| 1802LA | Other | WA | REGENCE |
| 1300LA | Other | WA | REGENCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- St Joseph Medical Center
- St Anthony Hospital
- St Clare Hospital
- St Michael Medical Center
- St Francis Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 36 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | 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
- 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.
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
dba Port Orchard Medical Clinic
- Family Medicine Physician
- Port Orchard, WA
- NPI 1558478818
-
- Specialist
- Tacoma, WA
- NPI 1023168184
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
dba St Anthony Hospital
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
dba St Francis Pac Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1336353069
Hospital
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.