Active NPI
Ann Shih-Long Lu, M.D.
- Family Medicine Physician
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00046848
- Practice address
- 10025 NE 186TH St
Bothell, WA 98011-3839 - Phone
- (425) 486-9131
- Fax
- (425) 486-9490
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00046848 | WA | Primary |
Addresses
Primary practice location
10025 NE 186TH St
Bothell, WA 98011-3839
Mailing address
10025 NE 186TH St
Bothell, WA 98011-3839
Phone (425) 486-9131
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
- Family Practice
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 140TH Ave NE
Bellevue, WA 98005-2972
Phone (425) 373-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046848 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Community Health Services | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Family Medicine | Current | Accepting new patients |
| International Community Health Services | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| International Community Health Services | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
1050 140th Ave NE
Bellevue, WA 98005
Phone (425) 373-3000
2930 Maple St
Everett, WA 98201
Phone (425) 261-1500
720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- alu1186634@wm.providencedirect.org
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1376659151
Family Medicine
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Federally Qualified Health Center (FQHC)
- Auburn, WA
- NPI 1831910439
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1902983109
Family Medicine
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
Family Medicine
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1275754657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10025 NE 186TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113839",
"telephone_number": "425-486-9131",
"fax_number": "425-486-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10025 NE 186TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113839",
"telephone_number": "425-486-9131",
"fax_number": "425-486-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "ANN",
"middle_name": "SHIH-LONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00046848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.