Active NPI
Timothy Wen-Zen NG, MD
- Diagnostic Radiology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD61156917
- Practice address
- 2211 NE 139TH St
Vancouver, WA 98686-2742 - Phone
- (360) 566-4840
- Fax
- (360) 566-4842
- NPI assigned
- Apr 3, 2012
- Last updated
- Oct 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R3563 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 5896 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | MD61156917 | WA | Primary |
Addresses
Primary practice location
2211 NE 139TH St
Vancouver, WA 98686-2742
Mailing address
19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0438346 | Other | WA | L & I - RADIA |
| 0438364 | Other | WA | L & I - SEATTLE RADIOLOGY |
| 0438356 | Other | WA | L & I - EVERGREEN RADIA |
| 2179012 | Medicaid | WA | |
| 0438348 | Other | WA | L & I - RADIA |
| 0438350 | Other | WA | L & I - SWEDISH RADIA |
| 0438365 | Other | WA | L & I - VANCOUVER RADIOLOGISTS |
| 0438368 | Other | WA | L & I - SOUTH SOUND RADIOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Pittsburgh School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (425) 563-1500
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
- Legacy Salmon Creek Medical Center
- Peacehealth St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.92 of 100
- Quality
- 11.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5896 | GA | MD | Diagnostic Radiology Physician |
| MD61156917 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radia Oregon Radiology Medical Group LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Diagnostic Radiology | Current | Accepting new patients |
Locations
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
8980 161st Ave NE
Redmond, WA 98052
Phone (425) 895-4810
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914
Organizations & group practices 11
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.
-
dba Seattle Radiology
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
dba South Sound Radiology
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
dba Swedish Radia Edmonds
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
dba Radia Oregon
- Diagnostic Radiology Physician
- Medford, OR
- NPI 1073385423
WA
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
dba Vancouver Radiology
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1154942886
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1972579365
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Hospital
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1932465051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W",
"address_2": "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": "2211 NE 139TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862742",
"telephone_number": "360-566-4840",
"fax_number": "360-566-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "TIMOTHY",
"middle_name": "WEN-ZEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "R3563",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "5896",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61156917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I - RADIA",
"identifier": "0438346",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I - SEATTLE RADIOLOGY",
"identifier": "0438364",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I - EVERGREEN RADIA",
"identifier": "0438356",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2179012",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I - RADIA",
"identifier": "0438348",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I - SWEDISH RADIA",
"identifier": "0438350",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I - VANCOUVER RADIOLOGISTS",
"identifier": "0438365",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I - SOUTH SOUND RADIOLOGY",
"identifier": "0438368",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.