Individual provider Active NPI

Katherine Hoang, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1417169277
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00048260 Issued in WA
Practice address
4550 Fauntleroy Way SW
Suite 100
Seattle, WA 98126-2740
Phone
(206) 933-1041
Fax
(206) 933-1047
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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 ML20007828 WA
Family Medicine Physician 207Q00000X MD00048260 WA Primary

Addresses

Primary practice location

4550 Fauntleroy Way SW
Suite 100
Seattle, WA 98126-2740

Mailing address

4550 Fauntleroy Way SW Ste 100
Seattle, WA 98126-3471
Phone (206) 933-1041

Other identifiers 1

IdentifierTypeStateIssuer
1057046MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khoang61841@fhsce.catholichealth.net Direct

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
I20070827000113 WA Practitioner - Family Practice 1052403722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

4550 Fauntleroy Way SW
Seattle, WA 98126-2740
Phone (206) 971-0425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00048260WAMDFamily Medicine Physician
ML20007828WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine PastSince Dec 6, 2020 Accepting new patients
Seahurst Pediatrics PLLC Past Accepting new patients

Locations

21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

3400 California Ave SW
Fl 3
Seattle, WA 98116

4550 Fauntleroy Way SW
Ste 100
Seattle, WA 98126
Phone (206) 403-1601

4550 Fauntleroy Way SW
Seattle, WA 98126
Phone (206) 933-1041

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1417169277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 FAUNTLEROY WAY SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263471",
            "telephone_number": "206-933-1041",
            "fax_number": "253-426-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 FAUNTLEROY WAY SW",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262740",
            "telephone_number": "206-933-1041",
            "fax_number": "206-933-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML20007828",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00048260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057046",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khoang61841@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4550 Fauntleroy Way SW",
            "address_2": "Suite 100",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981262740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.