Individual provider Active NPI

Son Van Nguyen, M.D.

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1508927716
Registry record updated Jul 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00033569 Issued in WA
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

Updated by the provider on Jul 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104140MedicaidWA

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
I20100915001145 WA Practitioner - Internal Medicine 1355466251 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Joshua Hiep Le, DO, PLLC Internal Medicine CurrentSince Jun 1, 2022 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.

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

Verify at the official NPI Registry.