SOO RYUN AHN MD
NPI 1356802433
Family Medicine in Raymond, WA

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
300 OCEAN AVE, RAYMOND, WA 98577(360) 942-3040(360) 942-3955 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Aug 8, 2022 (2 updates tracked since 2022).

About Soo Ryun Ahn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOO RYUN AHN MD (NPI 1356802433) is an individual family medicine provider in Raymond, Washington, licensed in Washington (MD61332660) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356802433
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOO RYUN AHNCredential: MD
Location Address300 OCEAN AVERaymond, WA 98577-3016
Mailing Address2690 Ne Kresky AveChehalis, WA 98532-2412 · (360) 330-9595 · Fax (360) 330-9560
Fax(360) 942-3955
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1356802433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61332660
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 OCEAN AVE, Raymond, WA 98577

Other Identifiers 1

Medicaid2215614WA

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 and accepts Medicare assignment

Soo Ryun Ahn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42686651
PECOS Enrollment IDI20221024001639
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
74 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Willapa Harbor Hospital

Critical Access Hospitals · South Bend, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501303
Location800 Alder StreetSouth Bend, WA 98586 · Pacific County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
300 OCEAN AVE
RAYMOND, WA 98577
Case Manager/Care Coordinator
300 OCEAN AVE
RAYMOND, WA 98577
Counselor (Mental Health)
300 OCEAN AVE
RAYMOND, WA 98577
Clinic/Center (Federally Qualified Health Center (FQHC))
300 OCEAN AVE
RAYMOND, WA 98577
Family Medicine
300 OCEAN AVE
RAYMOND, WA 98577
Counselor (Mental Health)
300 OCEAN AVE
RAYMOND, WA 98577
Community Health Worker
300 OCEAN AVE
RAYMOND, WA 98577
Nurse's Aide
300 OCEAN AVE
RAYMOND, WA 98577

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 Soo Ryun Ahn's NPI number?

The NPI number for Soo Ryun Ahn is 1356802433. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Soo Ryun Ahn located?

Soo Ryun Ahn practices at 300 Ocean Ave, Raymond, WA 98577. The listed phone number is (360) 942-3040.

What is Soo Ryun Ahn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Soo Ryun Ahn enrolled in Medicare?

Yes. Soo Ryun Ahn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Soo Ryun Ahn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Soo Ryun Ahn 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.

Is Soo Ryun Ahn affiliated with any hospitals?

According to CMS data, Soo Ryun Ahn is affiliated with Providence Centralia Hospital and Willapa Harbor Hospital.

When was this NPI record last updated?

The NPPES record for Soo Ryun Ahn was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.