Individual provider Active NPI

Yince Loh, M.D.

  • Vascular & Interventional Radiology Physician
  • Seattle, WA
National Provider Identifier
1720020894
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD60021578 Issued in WA
Practice address
550 17TH Ave
5TH Floor
Seattle, WA 98122-5788
Phone
(206) 320-2800
Fax
(206) 320-2827
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X AFE92388 CA
Neurology Physician 2084N0400X 311 WI
Surgical Critical Care Physician 2086S0102X AFE92388 CA
Vascular & Interventional Radiology Physician 2085R0204X MD60021578 WA Primary
Neurological Surgery Physician 207T00000X AFE92388 CA

Addresses

Primary practice location

550 17TH Ave
5TH Floor
Seattle, WA 98122-5788

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 2

1717 13th St Ste 402
Everett, WA 98201-1621
Phone (425) 297-6400

Other identifiers 1

IdentifierTypeStateIssuer
00A923880MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yloh1042344@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050913000258 CA Practitioner - NeurologyPractitioner - NeurosurgeryPractitioner - Critical Care (Intensivists) 0547293417 Reassigns benefits to 2 organizations
I20080821000201 WA Practitioner - Interventional RadiologyPractitioner - Neurology 0547293417 Reassigns benefits to 2 organizations
I20190430001717 WI Practitioner - Neurology 0547293417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Neurology
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

1717 13TH St
Everett, WA 98201-1621

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000

550 17TH Ave
Seattle, WA 98122-5789

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311WIMDSocial Worker
AFE92388CAMDNeurology Physician
MD60021578WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Oct 14, 2019 Accepting new patients
Gundersen Clinic LTD CurrentSince May 15, 2019 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 15, 2019 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince May 15, 2019 Accepting new patients
Providence Health & Services-Washington CurrentSince Jan 1, 2021 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Oct 14, 2019 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince May 15, 2019 Accepting new patients
Nirr Inc Neurological Surgery CurrentSince Aug 19, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Jan 1, 2021 Accepting new patients
Swedish Health Services Past Accepting new patients
Swedish Health Services Past Accepting new patients
UCLA Radiology Medical Group Vascular & Interventional Radiology Past Accepting new patients
Swedish Health Services Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 710
Anaheim, CA 92801
Phone (657) 888-9199

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

1400 Reynolds Ave
#105
Irvine, CA 92614
Phone (714) 730-0311

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

578 Washington Blvd
Marina del Rey, CA 90292
Phone (323) 447-8372

2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

1717 13th St
Ste 402
Everett, WA 98201
Phone (425) 297-6400

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

550 17th Ave
Fl 5
Seattle, WA 98122
Phone (206) 386-3880

550 17th Ave
Ste 400
Seattle, WA 98122
Phone (206) 320-3278

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yloh1042344@wm.providencedirect.org

Organizations & group practices 18

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.

View all 18

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1720020894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE",
            "address_2": "5TH FLOOR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225788",
            "telephone_number": "206-320-2800",
            "fax_number": "206-320-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 13th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011621",
            "country_code": "US",
            "telephone_number": "425-297-6400",
            "fax_number": "425-259-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOH",
        "first_name": "YINCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "AFE92388",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "311",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "AFE92388",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD60021578",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "AFE92388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A923880",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yloh1042344@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1717 13th St Ste 402",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.