Individual provider Active NPI

Peter Campbell Gregory, MD

  • Nephrology Physician
  • Federal Way, WA
National Provider Identifier
1013969856
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00045907 Issued in WA
Practice address
32014 32ND Ave S
Federal Way, WA 98001-9625
Phone
(253) 874-7107
Fax
(253) 874-1923
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD00045907 WA Primary

Addresses

Primary practice location

32014 32ND Ave S
Federal Way, WA 98001-9625

Mailing address

32014 32ND Ave S
Sound Vascular & Vein
Federal Way, WA 98001
Phone (253) 874-7107

Other practice location 1

3104 Squalicum Pkwy
Bellingham, WA 98225-1941
Phone (360) 733-2557

Other identifiers 2

IdentifierTypeStateIssuer
8472359MedicaidWA
1423GROtherWABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000139 WA Practitioner - NephrologyPractitioner - Internal Medicine 3779518535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Vascular PSGroup PAC ID 8729102595, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

32014 32ND Ave S
Federal Way, WA 98001-9625
Phone (253) 874-7107

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal49
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (15 of 17)

OrganizationSpecialtyStatusNew patients
Sound Vascular, P.S. CurrentSince Jun 14, 2010 Accepting new patients
Pacific Vascular Incorporated CurrentSince Nov 6, 2015 Accepting new patients
Pacific Vascular Incorporated CurrentSince Feb 26, 2015 Accepting new patients
Sound Vascular, P.S CurrentSince Jun 14, 2010 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 10, 2015 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 10, 2015 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 10, 2015 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 10, 2015 Accepting new patients
Pacific Vascular Incorporated CurrentSince Oct 1, 2020 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 10, 2015 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 10, 2015 Accepting new patients
Vascular Access Center of Seattle Nephrology Past Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology Past Accepting new patients
American Access Care of Pennsylvania LLC PastSince May 10, 2020 Accepting new patients
American Access Care of Pennsylvania LLC PastSince Feb 21, 2021 Accepting new patients

Locations

3104 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-2557

11714 N Creek Pkwy N
Ste 100
Bothell, WA 98011
Phone (425) 398-7774

32014 32nd Ave S
Federal Way, WA 98001
Phone (253) 874-7101

922 S 348th St
Federal Way, WA 98003
Phone (253) 874-7107

32014 32nd Ave S
#B
Federal Way, WA 98001
Phone (253) 661-2433

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: petergregory@pacp-wa.direct.office.nextgen.com
  • Direct secure messaging: peter.gregory.p141@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: peter.gregory.p145@direct.lifelinevascular.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peterg@sound-vascular-vein.direct.kno2fy.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1013969856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32014 32ND AVE S",
            "address_2": "SOUND VASCULAR & VEIN",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98001",
            "telephone_number": "253-874-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32014 32ND AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980019625",
            "telephone_number": "253-874-7107",
            "fax_number": "253-874-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251941",
            "country_code": "US",
            "telephone_number": "360-733-2557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "PETER",
        "middle_name": "CAMPBELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00045907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8472359",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1423GR",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.