Individual provider Active NPI

Peter Grunert

  • Neurological Surgery Physician
  • Zillah, WA
National Provider Identifier
1285185454
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD.MD.60798302 Issued in WA
Practice address
915 Vintage Valley Pkwy
Zillah, WA 98953-9800
Phone
(509) 314-6565
NPI assigned
Oct 21, 2016
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD.MD.60798302 WA Primary

Addresses

Primary practice location

915 Vintage Valley Pkwy
Zillah, WA 98953-9800

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Other practice location 1

1812 E Edison Ave
Sunnyside, WA 98944
Phone (509) 712-3295

Other identifiers 1

IdentifierTypeStateIssuer
2094572MedicaidWA

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
I20180111002496 WA Practitioner - Neurosurgery 8426317702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

1812 E Edison Ave
Sunnyside, WA 98944
Phone (509) 712-3295

915 Vintage Valley Pkwy
Suite 200
Zillah, WA 98953-9800
Phone (509) 314-6565

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.MD.60798302WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Jan 1, 2018 Accepting new patients
SHC Medical Center Toppenish CurrentSince Jan 1, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jan 1, 2018 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Sunnyside Community Hospital Association Past Accepting new patients

Locations

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

915 Vintage Valley Pkwy
Zillah, WA 98953
Phone (509) 314-6565

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1285185454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 VINTAGE VALLEY PKWY",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539800",
            "telephone_number": "509-314-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 E Edison Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "98944",
            "country_code": "US",
            "telephone_number": "509-712-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNERT",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD.MD.60798302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094572",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zillah, WA

Sources for this page

Verify at the official NPI Registry.