Individual provider Active NPI

James H Petrin, MD

  • Dermatology Physician
  • Redmond, WA
National Provider Identifier
1316948904
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00035810 Issued in WA
Practice address
8301 161St Ave NE Ste 108
Redmond, WA 98052-3858
Phone
(425) 485-7985
Fax
(425) 483-2375
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X MD00035810 WA
Dermatology Physician 207N00000X MD00035810 WA Primary

Addresses

Primary practice location

8301 161St Ave NE Ste 108
Redmond, WA 98052-3858

Mailing address

8301 161St Ave NE Ste 108
Redmond, WA 98052-3858
Phone (425) 485-7985

Other identifiers 5

IdentifierTypeStateIssuer
53030OtherWADEPT OF L&I GROUP
8228371MedicaidWA
128869OtherWADEPT OF L&I
7095656MedicaidWA
7136443MedicaidWA

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
I20050228000708 WA Practitioner - Dermatology 2769435924 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00035810WAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Dermatology & Skin Surgery PLLC CurrentSince May 14, 2007 Accepting new patients
Stephen William Doggett, M.D. PA PastSince May 14, 2007 Accepting new patients
Department of Social Past Accepting new patients

Locations

7315 212th St SW
Ste 101
Edmonds, WA 98026
Phone (425) 670-3550

8301 161st Ave NE
Ste 108
Redmond, WA 98052
Phone (425) 485-7985

17000 140th Ave NE
Unit 206
Woodinville, WA 98072
Phone (425) 402-9999

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Dermatology and Skin Surgery PLLC 3 clinicians

Practice addresses (Care Compare)

8301 161St Ave NE
Suite 108
Redmond, WA 98052-3858

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Merit-based Incentive Payment System (MIPS)

Final score
80.67 of 100Reported as individual
Quality
64.85
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision77
Removal of skin lesions861
Removal of skin cancer157
Removal or shaving of skin growth13
Skin biopsy319

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1316948904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE STE 108",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-485-7985",
            "fax_number": "425-483-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE STE 108",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-485-7985",
            "fax_number": "425-483-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIN",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "MD00035810",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00035810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I GROUP",
            "identifier": "53030",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8228371",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "128869",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7095656",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7136443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.