DR. LISA VU (M.D.) – Diagnostic Radiology Physician, NPI 1174783302

DR. LISA VU (M.D.) is a healthcare provider. based in Lynnwood, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD60464650 (WA). The NPI Number for DR. LISA VU (M.D.) is 1174783302

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA VU (M.D.)
NPI
1174783302
Phone
(425) 563-1500
Address
19020 33RD AVE W
Enumeration Date
11 June 2008
Last Update Date
12 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2063203700
Graduation Year
2008 (18 years ago)
PAC ID
3870713209
Group Practice PAC ID
9931012812
Professional Enrollment ID
I20141006001957
Address ID
WA981225711SE500XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for DR. LISA VU (M.D.)

  • 19020, 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98036, United States

    SUITE 210

    LYNNWOOD, WA 980364748

    Phone: (425) 563-1500

    Fax: (425) 563-1374

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141006001957IDiagnostic RadiologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,14512$0
71046X-ray of chest, 2 views6867$0
73630X-ray of foot, minimum of 3 views6145$0
72100X-ray of lower and sacral spine, 2-3 views3736$0
73562X-ray of knee, 3 views3531$0
View full utilization report →

Insurance plans in this area (ZIP 98036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931012812View full group profile
NameSpecialtyState
Diagnostic RadiologyWA
-WA
Diagnostic RadiologyWA
-WA
Diagnostic RadiologyMO
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyOH
Diagnostic RadiologyWA
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

What federal number belongs to DR. LISA VU (M.D.)?
The federal identifier for DR. LISA VU (M.D.) is NPI 1174783302.
Is DR. LISA VU (M.D.) currently active in the NPI registry?
CMS-published data lists DR. LISA VU (M.D.) as an active registrant.
What kind of provider is DR. LISA VU (M.D.)?
The page reflects Diagnostic Radiology Physician for DR. LISA VU (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. LISA VU (M.D.)?
We surface Lynnwood, Washington for DR. LISA VU (M.D.) based on available NPPES addresses.
What if Lynnwood, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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