Active NPI
Lucas Vuong DO, DO
- Internal Medicine Physician
- Kennewick, WA
National Provider Identifier
1295529147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DOL.OL.61684701
- Practice address
- 521 N Young St
Kennewick, WA 99336-7806 - Phone
- (509) 221-5965
- NPI assigned
- Apr 7, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DOL.OL.61684701 | WA | Primary |
Addresses
Primary practice location
521 N Young St
Kennewick, WA 99336-7806
Mailing address
3522 NE 119TH Ave
Portland, OR 97220-1502
Phone (503) 740-6227
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814001504 | WA | Order and Referring Only - Internal Medicine | 7810496262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOL.OL.61684701 | WA | MD | Internal Medicine Physician |
Interoperability endpoints
- lucas.do.1@18485.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1295529147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3522 NE 119TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972201502",
"telephone_number": "503-740-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N YOUNG ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367806",
"telephone_number": "509-221-5965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "LUCAS",
"middle_name": "VUONG",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "DOL.OL.61684701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.