Individual provider Active NPI

George Guiho Min, M.D.

  • Plastic Surgery Physician
  • Bellevue, WA
National Provider Identifier
1801059225
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD-60001040 Issued in WA
Practice address
10047 Main St
Suite 103
Bellevue, WA 98004-6019
Phone
(425) 463-9883
Fax
(425) 968-4631
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD-60001040 WA Primary

Addresses

Primary practice location

10047 Main St
Suite 103
Bellevue, WA 98004-6019

Mailing address

10047 Main St
Suite 103
Bellevue, WA 98004-6019
Phone (425) 463-9883

Other identifiers 2

IdentifierTypeStateIssuer
7145600MedicaidWA
8534828MedicaidWA

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
I20081110000327 WA Practitioner - Plastic and Reconstructive Surgery 3971662602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Southern California Keck School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newvue Plastic Surgery PCGroup PAC ID 3779642400, 4 clinicians

Practice addresses (Care Compare)

10047 Main St
Suite 103
Bellevue, WA 98004-5322
Phone (425) 463-9883

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-60001040WAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newvue Plastic Surgery PC Plastic Surgery CurrentSince Apr 30, 2003 Accepting new patients

Locations

10047 Main St
Ste 103
Bellevue, WA 98004
Phone (425) 463-9883

13114 120th Ave NE
Kirkland, WA 98034
Phone (425) 821-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJHGBA

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 and National Provider Directory roles.

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1801059225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10047 MAIN ST",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046019",
            "telephone_number": "425-463-9883",
            "fax_number": "425-968-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10047 MAIN ST",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046019",
            "telephone_number": "425-463-9883",
            "fax_number": "425-968-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "GEORGE",
        "middle_name": "GUIHO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD-60001040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7145600",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8534828",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.