Individual provider Active NPI

Milton Lowell Van Hise, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1841278306
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00038495 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Jan 5, 2006
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD00038495 WA
Neuroradiology Physician 2085N0700X M-12379 ID
Neuroradiology Physician 2085N0700X MEDS8010 AK
Diagnostic Radiology Physician 2085R0202X M-12379 ID
Diagnostic Radiology Physician 2085R0202X MEDS8010 AK
Diagnostic Radiology Physician 2085R0202X MD00038495 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 8

IdentifierTypeStateIssuer
204122OtherWAL & I PROVIDER NUMBER
1841278306MedicaidID
135577OtherWAL&I PROVIDER NUMBER
1017174MedicaidAK
175556OtherWAL&I PROVIDER NUMBER
135652OtherWAL&I PROVIDER NUMBER
154345OtherWAL&I PROVIDER NUMBER
8255234MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, CA, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20031201000465 WA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 2466357702 Reassigns benefits to 22 organizations
I20141030000892 ID Practitioner - Diagnostic Radiology 2466357702 Reassigns benefits to 1 organization
I20241031004129 CA Practitioner - Diagnostic Radiology 2466357702 Reassigns benefits to 3 organizations
I20250618000820 MI Practitioner - Diagnostic Radiology 2466357702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Okanogan County Public Hospital Dist No 4Group PAC ID 9335051150, shared by 4 NPIs, 43 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians
Public Hospital District No 4 King County WashingtonGroup PAC ID 6002700861, shared by 4 NPIs, 85 clinicians

Practice addresses (Care Compare)

Edmonds, WA 98026
Phone (501) 664-3914

Snohomish, WA 98296
Phone (425) 563-1500

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 563-1500

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

1600 E Jefferson St
Suite 300
Seattle, WA 98122-5645
Phone (206) 386-2677

16108 79 Ave SE
Snohomish, WA 98296-8618
Phone (425) 563-1500

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 563-1500

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-12379IDMDNeuroradiology Physician
MD00038495WAMDNeuroradiology Physician
MEDS8010AKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Sep 19, 2024 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Apr 3, 2025 Accepting new patients
Swedish Health Services CurrentSince May 20, 2018 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jul 27, 2009 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 28, 2023 Accepting new patients
Public Hospital District No 4 King County Washington Current Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Dec 26, 2010 Accepting new patients
Msu Health Care Inc. Neuroradiology CurrentSince Jun 1, 2025 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
County of Santa Clara CurrentSince Sep 19, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 28, 2023 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Swedish Health Services CurrentSince May 20, 2018 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jan 3, 2006 Accepting new patients
County of Santa Clara Current Accepting new patients
Swedish Health Services CurrentSince Oct 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Sep 19, 2024 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jul 21, 2013 Accepting new patients
Msu Health Care Inc. CurrentSince Jun 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Oct 1, 2015 Accepting new patients
County of Santa Clara Current Accepting new patients
Msu Health Care Inc Current Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Aug 7, 2023 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2011 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2011 Accepting new patients
Swedish Health Services CurrentSince Oct 1, 2015 Accepting new patients
Optum Care Washington PLLC Current Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Sep 19, 2024 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jan 3, 2006 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Nov 3, 2003 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2000 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Open MRI of Federal Way, L.L.C. Past Accepting new patients

Locations (25 of 69)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

303 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1541

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

Organizations & group practices 42

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.

View all 42

Hospital & facility affiliations 7

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1841278306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HISE",
        "first_name": "MILTON",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD00038495",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ID",
            "license": "M-12379",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AK",
            "license": "MEDS8010",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-12379",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "MEDS8010",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00038495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "204122",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841278306",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "135577",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017174",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "175556",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "135652",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "154345",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8255234",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.