Active NPI
Peter Wolff, M.D.
- Vascular Surgery Physician
- Arlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD00022578
- Practice address
- 875 Wesley St Ste 230
Arlington, WA 98223-1668 - Phone
- (360) 435-6097
- Fax
- (360) 435-1871
- NPI assigned
- Jul 11, 2005
- Last updated
- Jan 17, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00025578 | WA | |
| Vascular Surgery Physician | 2086S0129X | MD00022578 | WA | Primary |
Addresses
Primary practice location
875 Wesley St Ste 230
Arlington, WA 98223-1668
Mailing address
1400 E Kincaid St
Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 399073 | Other | WA | LABOR & INDUSTRIES |
| 1010588 | 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
- General Surgery
- Education
- Northwestern University Feinberg Medical School, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
875 Wesley St
Suite 130
Arlington, WA 98223-1668
Phone (360) 435-6525
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00025578 | WA | MD | Surgery Physician |
| MD00022578 | WA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients |
Locations
328 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133
875 Wesley St
Ste 130
Arlington, WA 98223
Phone (360) 435-6525
875 Wesley St
Ste 160
Arlington, WA 98223
Phone (360) 435-2133
875 Wesley St
Ste 230
Arlington, WA 98223
Phone (206) 435-6097
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Interoperability endpoints
- pwolff13390@skagit.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba Skagit Regional Health - Arlington Women's Health
- Obstetrics & Gynecology Physician
- Arlington, WA
- NPI 1073554903
-
dba Skagit Regional Health - Mount Vernon Physical Therapy
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cascade Valley Hospital
- General Acute Care Hospital
- Arlington, WA
- NPI 1073566246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1447258801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"address_2": "ATTN: CREDENTIALING",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2500",
"fax_number": "360-428-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WESLEY ST STE 230",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231668",
"telephone_number": "360-435-6097",
"fax_number": "360-435-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00025578",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD00022578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "399073",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010588",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.