Individual provider Active NPI

Stephanie Quynh-Huong Cao, MD

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1790344794
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61253922 Issued in WA
Practice address
3125 Old Fairhaven Pkwy
Bellingham, WA 98225-8266
Phone
(360) 788-8388
Fax
(360) 788-8389
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 MD61253922 WA Primary
Family Medicine Physician 207Q00000X LL3261 NV

Addresses

Primary practice location

3125 Old Fairhaven Pkwy
Bellingham, WA 98225-8266

Mailing address

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Phone (702) 916-0434

Other practice location 1

6655 S Cimarron Rd Ste 1000
Las Vegas, NV 89113-2180
Phone (702) 916-0434

Other practice location 2

4750 W Oakey Blvd
Las Vegas, NV 89102-1535
Phone (702) 877-5199

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VHSFamilyMedicine@uhsinc.com Direct

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
I20220811001917 WA Practitioner - Family Practice 3476888058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

3125 Old Fairhaven Pkwy
Suite 106
Bellingham, WA 98225-8266
Phone (360) 788-8388

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61253922WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Peacehealth CurrentSince Aug 1, 2022 Accepting new patients

Locations

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

3125 Old Fairhaven Pkwy
Ste 106
Bellingham, WA 98225
Phone (360) 788-8388

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

Interoperability endpoints

  • Direct secure messaging: scao559973@direct.peacehealth.org

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 and National Provider Directory roles.

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1790344794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132181",
            "telephone_number": "702-916-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 OLD FAIRHAVEN PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258266",
            "telephone_number": "360-788-8388",
            "fax_number": "360-788-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 S Cimarron Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132180",
            "country_code": "US",
            "telephone_number": "702-916-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 W Oakey Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021535",
            "country_code": "US",
            "telephone_number": "702-877-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "STEPHANIE",
        "middle_name": "QUYNH-HUONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61253922",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "LL3261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VHSFamilyMedicine@uhsinc.com",
            "affiliation": "N",
            "endpointDescription": "Valley Heath System Family Medicine Residency Program's General Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6655 S Cimarron Rd Ste 1000",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891132180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.