Individual provider Active NPI

Michael Fu, DO

  • Internal Medicine Physician
  • Vancouver, WA
National Provider Identifier
1932849320
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP70007229 Issued in WA
Practice address
16811 SE McGillivray Blvd Ste 101
Vancouver, WA 98683-3404
Phone
(360) 735-8100
Fax
(360) 253-1781
NPI assigned
Apr 1, 2022
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP70007229 WA Primary

Addresses

Primary practice location

16811 SE McGillivray Blvd Ste 101
Vancouver, WA 98683-3404

Mailing address

18701 N 67TH Ave
Glendale, AZ 85308-7100

Other practice location 1

18701 N 67th Ave
Glendale, AZ 85308-7100
Phone (623) 561-7279

Other practice location 2

9330 NE Vancouver Mall Dr Ste 100
Vancouver, WA 98662-8209
Phone (360) 729-8510

Other practice location 3

505 NE 87th Ave Ste 260
Vancouver, WA 98664-1965
Phone (360) 514-6450

Other practice location 4

315 NE 192nd Ave
Vancouver, WA 98684-7505
Phone (360) 729-8200

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
I20251002003056 WA Practitioner - Internal Medicine 2961908496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Sep 17, 2025 Accepting new patients
Southwest Washington Medical Center Past Accepting new patients

Locations

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

16811 SE McGillivray Blvd
Vancouver, WA 98683
Phone (360) 514-4900

16811 SE McGillivray Blvd
Ste 101
Vancouver, WA 98683
Phone (360) 215-2589

505 NE 87th Ave
Ste 260
Vancouver, WA 98664
Phone (360) 514-6450

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

9330 NE Vancouver Mall Dr
Ste 100
Vancouver, WA 98662
Phone (360) 729-8510

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1932849320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16811 SE MCGILLIVRAY BLVD STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833404",
            "telephone_number": "360-735-8100",
            "fax_number": "360-253-1781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18701 N 67th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087100",
            "country_code": "US",
            "telephone_number": "623-561-7279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9330 NE Vancouver Mall Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986628209",
            "country_code": "US",
            "telephone_number": "360-729-8510",
            "fax_number": "360-729-3079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-6450",
            "fax_number": "360-514-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 NE 192nd Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986847505",
            "country_code": "US",
            "telephone_number": "360-729-8200",
            "fax_number": "360-729-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FU",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP70007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.