Active NPI
Son Van Nguyen, M.D.
- Internal Medicine Physician
- Seattle, WA
National Provider Identifier
1508927716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00033569
- Practice address
- 7101 Martin Luther King Jr Way S
#217
Seattle, WA 98118-3594 - Phone
- (206) 722-7786
- Fax
- (206) 722-7884
- NPI assigned
- Dec 12, 2006
- 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 | MD00033569 | WA | Primary |
Addresses
Primary practice location
7101 Martin Luther King Jr Way S
#217
Seattle, WA 98118-3594
Mailing address
16340 75TH PL W
Edmonds, WA 98026-4913
Phone (425) 741-9179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104140 | 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
- Internal Medicine
- Education
- University of Washington School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7101 Martin Luther King Jr S Way
Suite 217
Seattle, WA 98118-3592
Phone (206) 722-7786
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua Hiep Le, DO, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
7101 Ml King Jr Way S
Ste 217
Seattle, WA 98118
Phone (206) 395-4748
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1457676983
-
- Internal Medicine Physician
- Renton, WA
- NPI 1871231555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312070400000",
"number": "1508927716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16340 75TH PL W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980264913",
"telephone_number": "425-741-9179",
"fax_number": "425-741-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 MARTIN LUTHER KING JR WAY S",
"address_2": "#217",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981183594",
"telephone_number": "206-722-7786",
"fax_number": "206-722-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SON",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2011-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00033569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104140",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.