Individual provider Active NPI

Lawrence Luan-Dinh Vu, M.D.

  • Family Medicine Physician
  • Tukwila, WA
National Provider Identifier
1225040801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00042368 Issued in WA
Practice address
13100 Military Rd S
Ste #2
Tukwila, WA 98168-3086
Phone
(206) 242-7333
Fax
(206) 242-7335
NPI assigned
Aug 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00042368 WA Primary

Addresses

Primary practice location

13100 Military Rd S
Ste #2
Tukwila, WA 98168-3086

Mailing address

13100 Military Rd S
Ste #2
Tukwila, WA 98168-3086
Phone (206) 242-7333

Other identifiers 1

IdentifierTypeStateIssuer
8355497MedicaidWA

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
I20110302000485 WA Practitioner - Family Practice 2769476613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seatac Primary Care Physicians, Inc.Group PAC ID 6507850450, 3 clinicians

Practice addresses (Care Compare)

13100 Military Rd S
Suite 2
Tukwila, WA 98168-3086
Phone (206) 242-7333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042368WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seatac Primary Care Physicians, Inc. Family Medicine CurrentSince Aug 7, 2013 Accepting new patients

Locations

13100 Military Rd S
Ste 2
Tukwila, WA 98168
Phone (206) 242-7333

Organizations & group practices 1

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 1

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225040801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MILITARY RD S",
            "address_2": "STE #2",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683086",
            "telephone_number": "206-242-7333",
            "fax_number": "206-242-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MILITARY RD S",
            "address_2": "STE #2",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683086",
            "telephone_number": "206-242-7333",
            "fax_number": "206-242-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "LAWRENCE",
        "middle_name": "LUAN-DINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8355497",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.