Individual provider Active NPI

Ann Shih-Long Lu, M.D.

  • Family Medicine Physician
  • Bothell, WA
National Provider Identifier
1275754657
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00046848 Issued in WA
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

Updated by the provider on Apr 30, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000626 WA Practitioner - Family Practice 1850470626 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
MD00046848WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services CurrentSince Mar 20, 2017 Accepting new patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince Aug 15, 2009 Accepting new patients
International Community Health Services Family Medicine CurrentSince Mar 20, 2017 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 15, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.