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Tri Cong Van , PA-C

Physician Assistant β€’ Renton, WA

Active NPI 1477383990 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

400 S 43rd St
Renton, WA 980555714

Call 2536611700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 S 43rd St

Renton, WA 980555714

Telephone 2536611700
Organization at the Same NPPES Address or Phone
Vantage Radiology & Diagnostic Services, A Professional Services Corp Facility NPI 1245230598

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Vantage Radiology And Diagnostic Services, A Professional Services Cor. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Washington School Of Medicine

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tri Van has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tri Van as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Renton and Washington

57 active clinicians are listed under Physician Assistant with a practice address in Renton, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Renton

26.3% of these 57 clinicians have the CMS telehealth indicator.

68.4% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Radiologic Technologist - Radiography

NUCC Taxonomy Code: 2471C3402X

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260113001450

Enrollment State Jurisdiction

WA

PECOS Control ID

7911483623

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Vantage Radiology And Diagnostic Services, A Professional Services Cor

533 S 336th St, Federal Way, WA 980036329

Phone: 2536611700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Dr. John Bauman , MD

Radiology - Diagnostic Radiology

NPI 1417956236

Doctor of Medicine (M.D.)

Dr. John Bowen , MD

Radiology - Diagnostic Radiology

NPI 1306845128

Doctor of Medicine (M.D.)

Dr. Keith Chan , MD

Radiology - Diagnostic Radiology

NPI 1295001972

Doctor of Medicine (M.D.)

Dr. Samuel Chao , MD

Radiology - Vascular & Interventional Radiology

NPI 1154522092

Doctor of Medicine (M.D.)

Dr. James Chen , MD

Radiology - Diagnostic Radiology

NPI 1659370328

Doctor of Medicine (M.D.)

Dr. Stephanie Clements , MD

Radiology - Diagnostic Radiology

NPI 1669977575

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 08, 2025

Registered at 400 S 43RD ST, RENTON, WA 980555714 (Tel: 2536611700)

πŸ“
Updated Business Mailing Address November 08, 2025

Registered at 400 S 43RD ST, RENTON, WA 980555714 (Tel: 2536611700)

πŸ‘€
Provider Name / Credentials Updated November 08, 2025

Recorded as TRI VAN, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2025

Physician Assistant

βœ…
NPI Profile Active August 07, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2024

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

πŸ“
Business Mailing Address (Initial Record) August 07, 2024

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2024

Recorded as TRI VAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2024

Radiologic Technologist

🟒
Initial NPI Registration & Enumeration August 07, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477383990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2024
Last Update: November 08, 2025
Sole Proprietor: No

Other Physician Assistants in Renton

All Physician Assistants in Renton

Mailing Address

400 S 43rd St

Renton, WA 980555714

Phone: 2536611700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.