Individual provider Active NPI

Loan N Vu, MD

  • Family Medicine Physician
  • Tukwila, WA
National Provider Identifier
1396799870
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00046816 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
May 20, 2006
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39682 KY
Family Medicine Physician 207Q00000X MD00046816 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 2

IdentifierTypeStateIssuer
64090319MedicaidKY
8470510MedicaidWA

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
I20110707000342 WA Practitioner - Family Practice 9133198203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLC Physicians PLLCGroup PAC ID 5395923890, 2 clinicians

Practice addresses (Care Compare)

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

13100 Military S Rd
Suite 1
Tukwila, WA 98168-3086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seatac Primary Care Physicians, Inc. Family Medicine PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1396799870",
    "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": "LOAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "39682",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00046816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64090319",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8470510",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.