CHARLIE L PHU PA-C
NPI 1073021200
Physician Assistant - Surgical in Issaquah, WA
About Charlie L Phu Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE L PHU PA-C (NPI 1073021200) is an individual surgical provider in Issaquah, Washington, licensed in Washington (PA60882779) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlie L Phu Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ISSAQUAH, WA 98029
ISSAQUAH, WA 98029
ISSAQUAH, WA 98029
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charlie Phu's NPI number?
The NPI number for Charlie Phu is 1073021200. It was assigned to this individual provider in the NPPES registry on January 23, 2018.
Where is Charlie Phu located?
Charlie Phu practices at 751 NE Blakely Dr Ste 4020, Issaquah, WA 98029. The listed phone number is (425) 313-4000.
What is Charlie Phu's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Charlie Phu enrolled in Medicare?
Yes. Charlie Phu is registered in the Medicare PECOS enrollment system.
What insurance does Charlie Phu accept?
Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Charlie Phu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charlie Phu was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charlie L Phu, PA-C · NPI 1073021200
Surgical physician in Issaquah, Washington. Individual provider, active in the CMS NPPES registry since January 23, 2018.
## Identity
- **NPI:** 1073021200 (Entity type: Individual)
- **Enumerated:** January 23, 2018
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA60882779 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 NE BLAKELY DR STE 4020, Issaquah, WA 98029-6201
- **Phone:** (425) 313-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073021200) · Data from the CMS NPPES public registry.