Active NPI
Peter James Berberian, M.D.
- Family Medicine Physician
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ML60288820
- Practice address
- 14434 Ambaum Blvd SW Ste 5
Burien, WA 98166-1438 - Phone
- (206) 812-6140
- Fax
- (206) 812-2466
- NPI assigned
- Jun 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML60288820 | WA | Primary |
Addresses
Primary practice location
14434 Ambaum Blvd SW Ste 5
Burien, WA 98166-1438
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
550 16th Ave Ste 100
Seattle, WA 98122-5636
Phone (206) 762-3730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020685 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14434 Ambaum Blvd SW
Suite 5
Burien, WA 98166-1438
Phone (206) 812-6140
8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60288820 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Swedish Health Services | Past | Accepting new patients | |
| Sea-Mar Community Health Center | Family Medicine | Past | Accepting new patients |
Locations
14434 Ambaum Blvd SW
Ste 5
Burien, WA 98166
Phone (206) 244-9482
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
Interoperability endpoints
- pberberian450230@direct.multicare.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Des Moines, WA
- NPI 1326316142
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1104187467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14434 AMBAUM BLVD SW STE 5",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661438",
"telephone_number": "206-812-6140",
"fax_number": "206-812-2466"
}
],
"practiceLocations": [
{
"address_1": "550 16th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225636",
"country_code": "US",
"telephone_number": "206-762-3730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERBERIAN",
"first_name": "PETER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60288820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020685",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.