CHANGHO YI MD
NPI 1619618998
Pain Medicine - Interventional Pain Medicine in Lakewood, WA

Active since April 02, 2022PECOS EnrolledAccepts Medicare Assignment
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499(253) 983-9390 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, Apr 14, 2022 (2 updates tracked since 2022).

About Changho Yi Md NPPES

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

CHANGHO YI MD (NPI 1619618998) is an individual interventional pain medicine provider in Lakewood, Washington, licensed in Washington (MD61616683) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619618998
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameCHANGHO YICredential: MD
Location Address11306 BRIDGEPORT WAY SW STE DLakewood, WA 98499-3037
Mailing Address4029 Northwest Ave Ste 301Bellingham, WA 98226-9077 · (253) 983-9390
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 2, 2022
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1619618998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in WA · MD61616683
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
11306 BRIDGEPORT WAY SW STE D, Lakewood, WA 98499

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Changho Yi 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 ID3577085935
PECOS Enrollment IDI20260402001211
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.

Medicare Billing Reassignment

Medicare enrollment records show Changho Yi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Medicine
4029 NORTHWEST AVE STE 301
Bellingham, WA 98226
  • Reassigned Medicare billing, Washington enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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 6

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

Physician Assistant
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA 98499
Physician Assistant
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA 98499
Nurse Practitioner
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA 98499
Pain Medicine (Interventional Pain Medicine)
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA 98499
Physician Assistant (Surgical)
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA 98499
Anesthesiology (Pain Medicine)
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA 98499

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 Changho Yi's NPI number?

The NPI number for Changho Yi is 1619618998. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Changho Yi located?

Changho Yi practices at 11306 Bridgeport Way SW Ste D, Lakewood, WA 98499. The listed phone number is (253) 983-9390.

What is Changho Yi's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Changho Yi enrolled in Medicare?

Yes. Changho Yi 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.

Which organization bills Medicare for Changho Yi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Changho Yi reassigns Medicare benefits to Sound Pain Alliance (Bellingham, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Changho Yi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Changho Yi accept?

Health plans from Ambetter Health list Changho Yi 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 Changho Yi was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.