Individual provider Active NPI

Juan Alejandro Millan, MD

  • Body Imaging Physician
  • Lynnwood, WA
National Provider Identifier
1275511172
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
MD00042145 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD00042145 WA Primary
Diagnostic Radiology Physician 2085R0202X MD00042145 WA
Diagnostic Radiology Physician 2085R0202X 12413 ID

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 6

IdentifierTypeStateIssuer
197585OtherWAL&I PROVIDER NUMBER
1009601MedicaidAK
197587OtherWAL&I PROVIDER NUMBER
1275511172MedicaidID
8389330MedicaidWA
197586OtherWAL&I PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040517000186 WA Practitioner - Diagnostic Radiology 7517957087 Reassigns benefits to 18 organizations
I20141210001898 ID Practitioner - Diagnostic Radiology 7517957087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Okanogan County Public Hospital Dist No 4Group PAC ID 9335051150, shared by 4 NPIs, 43 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

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

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

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

601 Broadway
Suite 600
Seattle, WA 98122-5330
Phone (206) 386-6171

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042145WAMDBody Imaging Physician
12413IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jun 30, 2015 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Aug 31, 2015 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Mar 31, 2007 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jul 21, 2013 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Apr 18, 2022 Accepting new patients
Swedish Health Services Current Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Dec 26, 2010 Accepting new patients
Swedish Health Services Body Imaging CurrentSince Oct 21, 2019 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
Swedish Health Services CurrentSince Oct 21, 2019 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Apr 18, 2022 Accepting new patients
Swedish Health Services CurrentSince Jun 30, 2015 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Swedish Health Services CurrentSince Jun 1, 2013 Accepting new patients
Swedish Health Services CurrentSince Nov 17, 2019 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Aug 31, 2015 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jul 13, 2018 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2011 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Swedish Health Services CurrentSince Jun 1, 2013 Accepting new patients
Open MRI of Federal Way, L.L.C. Past Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Ramic Federal Way, LLC Past Accepting new patients

Locations (25 of 42)

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

303 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1541

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

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

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

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

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

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

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

916 Koala Dr
Omak, WA 98841
Phone (509) 826-1800

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

911 N 10th Pl
Renton, WA 98057
Phone (425) 391-5700

550 17th Ave
Fl 5
Seattle, WA 98122
Phone (206) 386-3880

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

Interoperability endpoints

  • Direct secure messaging: juan.millan.p42@direct.proliance.nextgenshare.com

Organizations & group practices 30

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 30

Hospital & facility affiliations 7

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1275511172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 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 STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "JUAN",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "MD00042145",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00042145",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "12413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "197585",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009601",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "197587",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275511172",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8389330",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "197586",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.