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

Q: 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.

Q: 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.

Q: 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 4 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.

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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

Phone(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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Changho Yi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ROBERT LEO TESTA PA-C

Physician Assistant