Active NPI
Anh-CHI DO, MD
- Family Medicine Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60865937
- Practice address
- 3915 Talbot Rd S Ste 401
Renton, WA 98055-5738 - Phone
- (425) 690-3445
- Fax
- (425) 690-9445
- NPI assigned
- May 11, 2016
- Last updated
- May 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60865937 | WA | Primary |
Addresses
Primary practice location
3915 Talbot Rd S Ste 401
Renton, WA 98055-5738
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentailing
Renton, WA 98057-4970
Phone (425) 690-2715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2062275 | Medicaid | WA | |
| G8998922 | Other | WA | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60865937 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Family Medicine | Current | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224
Interoperability endpoints
- ado60476@direct.valleymed.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1790131456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTAILING",
"city": "RENTON",
"state": "WA",
"postal_code": "980574970",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S STE 401",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-690-3445",
"fax_number": "425-690-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "ANH-CHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60865937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2062275",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE W VALLEY MEDICAL GROUP - RENTON",
"identifier": "G8998922",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.