Active NPI
Loan N Vu, MD
- Family Medicine Physician
- Tukwila, WA
National Provider Identifier
1396799870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00046816
- 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, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64090319 | Medicaid | KY | |
| 8470510 | Medicaid | WA |
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
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seatac Primary Care Physicians, Inc. | Family Medicine | Past | 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.
-
- Family Medicine Physician
- Tukwila, WA
- NPI 1235300260
-
dba UNIBE Care Family Practice Clinic
- Family Medicine Physician
- Tukwila, WA
- NPI 1053426734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.