Active NPI
Andrew Nam Anh Nguyen, MD
- Diagnostic Radiology Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60745948
- Practice address
- 19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748 - Phone
- (425) 563-1500
- Fax
- (425) 563-1501
- NPI assigned
- Apr 16, 2013
- 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 |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | MD60745948 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | MD60745948 | WA | Primary |
Addresses
Primary practice location
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other practice location 1
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2027916 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Oregon Health Sciences University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
1304 Fawcett Ave
Suite 100
Tacoma, WA 98402-1900
Phone (253) 841-4353
222 15TH Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353
Hospital & facility affiliations
- Virginia Mason Medical Center
- St Joseph Medical Center
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
- St Francis Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60745948 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tra-Minw P S | Current | Accepting new patients | |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bellingham Advanced Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Tra-Minw P S | Past | Accepting new patients | |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Iliuliuk Family &Health Services, Inc. | Past | Accepting new patients |
Locations (25 of 41)
2310 Peger Rd
Ste 102
Fairbanks, AK 99709
250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393
21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391
5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374
222 15th Ave SE
Puyallup, WA 98372
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
Interoperability endpoints
- andy.nguyen@direct.vmmc.org
- https://app.meldrx.com/api/fhir/ei-trami
Organizations & group practices 21
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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1396814166
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Diagnostic Radiology Physician
- Bellingham, WA
- NPI 1730605965
AK
-
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1922095694
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
-
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1447041751
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1699118034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501"
}
],
"practiceLocations": [
{
"address_1": "1304 Fawcett Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984021900",
"country_code": "US",
"telephone_number": "253-761-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANDREW",
"middle_name": "NAM ANH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "WA",
"license": "MD60745948",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60745948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2027916",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.