Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487001723 Individual Practitioner Male Practitioner

Lio Maluchi Ryu , PA-C

Physician Assistant - Surgical • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Lio Ryu, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Seattle, WA. Practice services are available at 1229 MADISON ST STE 1660 under active NPI credentials.

Frequently performed procedures and clinical services include repair of wound by transferring skin, 30.1-60.0 sq cm, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1229 Madison St Ste 1660

Seattle, WA 981043586

Telephone 2063291760
Associated Practice Facility / Clinic
🏢 The Polyclinic Pllc Facility NPI 1174594634

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
153 Specialists

Practicing in Seattle, WA (612 Statewide)

Telehealth Adoption Rate
17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm
15 13 $459.88 $103.89
19301 Partial removal of breast
14 13 $356.82 $73.76

Medical Specialties & State Licenses

CMS Verified: 2026-06-15
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License WA PA60783018

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1487001723 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Wei Shawn Ignatius Ang , DO

Psychiatry & Neurology - Forensic Psychiatry

NPI 1013470079

Doctor of Osteopathic Medicine (D.O.)

Mandy Matta , PA-C

Physician Assistant - Surgical

NPI 1013561943

Physician Assistant (Certified)

Dr. Antonius Mulia , MD

Internal Medicine

NPI 1013985977

Doctor of Medicine (M.D.)

NPI 1023085248

Doctor of Medicine (M.D.)

Dr. Xiangping Ren , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1023173846

Doctor of Medicine (M.D.)

NPI 1033112107

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Business Mailing Address June 15, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2026

Physician Assistant (License #PA60783018 in WA)

📍
Updated Practice Location August 28, 2025

Registered at 1229 MADISON ST STE 1660, SEATTLE, WA 981043586 (Tel: 2063291760)

📍
Updated Business Mailing Address August 28, 2025

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 2068605414)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2025

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location June 28, 2018

Registered at 1221 MADISON ST STE 600, SEATTLE, WA 98104 (Tel: 2062155900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2018

Physician Assistant (License #PA60783018 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2017

Registered at 1221 MADISON ST STE 600, SEATTLE, WA 981041364 (Tel: 2062155900)

📍
Updated Business Mailing Address December 12, 2017

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

👤
Provider Name / Credentials Updated December 12, 2017

Recorded as LIO RYU, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2017

Physician Assistant (License #PA60783018 in WA)

NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2016

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

📍
Updated Business Mailing Address May 17, 2016

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367

👤
Provider Name / Credentials Updated May 17, 2016

Recorded as LIO RYU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487001723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2016
Last Update: June 15, 2026
Sole Proprietor: No

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.