Individual provider Active NPI

Vuthy Leng, M.D.

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1710952379
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00044823 Issued in WA
Practice address
34618 11TH PL S. Suite #100
Federal Way, WA 98003
Phone
(866) 499-8990
Fax
(253) 838-4145
NPI assigned
Feb 17, 2006
Last updated
Oct 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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 MD00044823 WA
Family Medicine Physician 207Q00000X 00044823 WA Primary

Addresses

Primary practice location

34618 11TH PL S. Suite #100
Federal Way, WA 98003

Mailing address

PO Box 6015
Federal Way, WA 98063-6015
Phone (253) 336-4462

Other identifiers 1

IdentifierTypeStateIssuer
1122118MedicaidWA

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
I20050922001266 WA Practitioner - Family Practice 7113951732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Clinic of Federal WayGroup PAC ID 3577597194, 2 clinicians

Practice addresses (Care Compare)

34618 11TH PL S
Federal Way, WA 98003-6792
Phone (253) 336-4462

4928 109TH St SW
Lakewood, WA 98499-3731
Phone (253) 336-4462

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00044823WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Clinic of Federal Way Family Medicine CurrentSince Jul 13, 2005 Accepting new patients
Opioid & Alcohol Addiction Clinic Past Accepting new patients

Locations

34618 11th Pl S
Federal Way, WA 98003
Phone (253) 336-4462

34618 11th Pl S
Ste 100
Federal Way, WA 98003
Phone (253) 336-4462

4928 109th St SW
Lakewood, WA 98499
Phone (253) 336-4462

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: vuthy.leng@948332379439108.direct.elationemr.com

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.

Hospital & facility affiliations 4

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1710952379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6015",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980636015",
            "telephone_number": "253-336-4462",
            "fax_number": "253-838-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34618 11TH PL S. SUITE #100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "866-499-8990",
            "fax_number": "253-838-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENG",
        "first_name": "VUTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044823",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00044823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122118",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.