Individual provider Active NPI

Mua Lien Ngo, D.O.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1215462833
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61072566 Issued in WA
Practice address
1901 S Union Ave Ste B7005
Tacoma, WA 98405-1807
Phone
(253) 459-6500
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OP61072566 WA Primary

Addresses

Primary practice location

1901 S Union Ave Ste B7005
Tacoma, WA 98405-1807

Mailing address

101 Del Monte Ave
Fircrest, WA 98466-7206
Phone (209) 471-8188

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
I20200729000786 WA Practitioner - Family Practice 3678845641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Hill Family Medicine PCGroup PAC ID 8729980396, 67 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

11216 Sunrise Blvd E
Suite 3 106
Puyallup, WA 98374-8848
Phone (253) 848-5951

1322 3Rd St SE
Suite 100
Puyallup, WA 98372-3771
Phone (253) 403-7277

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lapis Family Medicine LLP Family Medicine Current Accepting new patients
Multicare Health System CurrentSince Jul 5, 2020 Accepting new patients
South Hill Family Medicine PC Family Medicine CurrentSince Aug 29, 2022 Accepting new patients
Multicare Health System Family Medicine CurrentSince Jul 5, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Cascade Eye & Skin Centers PC PastSince Aug 29, 2022 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

611 31st Ave SW
Ste C
Puyallup, WA 98373
Phone (253) 848-5951

11216 Sunrise Blvd E
Ste 3-106
Puyallup, WA 98374
Phone (253) 341-0698

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

1901 S Union Ave
Ste B7005
Tacoma, WA 98405
Phone (253) 459-6500

Interoperability endpoints

  • Direct secure messaging: mua.lien.ngo.1@32512.direct.athenahealth.com
  • Direct secure messaging: mngo66994@direct.tecmc.com

Organizations & group practices 6

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1215462833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEL MONTE AVE",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984667206",
            "telephone_number": "209-471-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE B7005",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051807",
            "telephone_number": "253-459-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "MUA",
        "middle_name": "LIEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61072566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.