Individual provider Active NPI

Kim CHI Vu, M.D.

  • Specialist
  • Beaverton, OR
National Provider Identifier
1770650194
Registry record updated Mar 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD24426 Issued in OR
Practice address
15390 NW Cornell Rd
Suite 225
Beaverton, OR 97006-5627
Phone
(503) 601-2910
Fax
(503) 601-2914
NPI assigned
Nov 29, 2006
Last updated
Mar 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD24426 OR Primary

Addresses

Primary practice location

15390 NW Cornell Rd
Suite 225
Beaverton, OR 97006-5627

Mailing address

15390 NW Cornell Rd
Suite 225
Beaverton, OR 97006-5627
Phone (503) 601-2910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20050201000041 OR Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 2365492196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Oregon Health Sciences University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Kim-CHI Vu, MD, PCGroup PAC ID 6305992983, 2 clinicians

Practice addresses (Care Compare)

15390 NW Cornell Rd
Suite 225
Beaverton, OR 97006-5627
Phone (503) 601-2910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Anesthesia Group, LLC CurrentSince Sep 4, 2024 Accepting new patients
Sunset Surgical Centre LLC PastSince May 9, 2012 Accepting new patients

Organizations & group practices 3

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 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425168000000",
    "number": "1770650194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15390 NW CORNELL RD",
            "address_2": "SUITE 225",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065627",
            "telephone_number": "503-601-2910",
            "fax_number": "503-601-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15390 NW CORNELL RD",
            "address_2": "SUITE 225",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065627",
            "telephone_number": "503-601-2910",
            "fax_number": "503-601-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "KIM CHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD24426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.