Individual provider Active NPI

Daniel H Petroni, M.D., PH.D.

  • Allergy & Immunology Physician
  • Seattle, WA
National Provider Identifier
1073808028
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
60484134 Issued in WA
Practice address
9725 3Rd Ave NE
Suite 500
Seattle, WA 98115-2060
Phone
(206) 527-1200
Fax
(206) 523-0724
NPI assigned
Jun 17, 2011
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 60484134 WA Primary

Addresses

Primary practice location

9725 3Rd Ave NE
Suite 500
Seattle, WA 98115-2060

Mailing address

9725 3Rd Ave NE
Suite 500
Seattle, WA 98115-2060
Phone (206) 527-1200

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
I20160615002164 WA Practitioner - Allergy/Immunology 9931429461 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60484134WAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital Current Accepting new patients
The Association of University Physicians Allergy & Immunology CurrentSince Sep 28, 2016 Accepting new patients
Seattle Childrens Hospital CurrentSince Aug 13, 2016 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology CurrentSince Jul 1, 2016 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology CurrentSince Jul 1, 2016 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Current Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Past Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

10333 19th Ave SE
Ste 105
Everett, WA 98208
Phone (425) 385-2802

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

1801 E Division St
Mount Vernon, WA 98274
Phone (360) 424-4410

9521 Sandifur Pkwy
#2
Pasco, WA 99301
Phone (509) 946-0189

1412 SW 43rd St
Ste 210
Renton, WA 98057
Phone (425) 235-1716

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

9725 3rd Ave NE
Ste 500
Seattle, WA 98115
Phone (206) 527-1200

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1073808028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152060",
            "telephone_number": "206-527-1200",
            "fax_number": "206-523-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152060",
            "telephone_number": "206-527-1200",
            "fax_number": "206-523-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONI",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "60484134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.