Individual provider Active NPI

Jeff Regan Peterson, MD

  • Rheumatology Physician
  • Bothell, WA
National Provider Identifier
1467491076
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD00037674 Issued in WA
Practice address
19119 N Creek Pkwy Ste 102
Bothell, WA 98011-8023
Phone
(425) 923-7945
NPI assigned
Jun 6, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD00037674 WA Primary

Addresses

Primary practice location

19119 N Creek Pkwy Ste 102
Bothell, WA 98011-8023

Mailing address

19119 N Creek Pkwy Ste 102
Bothell, WA 98011-8023
Phone (425) 923-7945

Other practice location 1

1909 214th St SE Ste 211
Bothell, WA 98021-4418
Phone (425) 248-2626

Other practice location 2

161 Wailea Ike Pl Ste A104
Kihei, HI 96753-6502
Phone (808) 757-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040817001229 WA Practitioner - Rheumatology 3779556725 Reassigns benefits to 1 organization
I20210618001307 HI Practitioner - Rheumatology 3779556725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Washington School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Associates of Maui LLCGroup PAC ID 6406256353, 2 clinicians

Practice addresses (Care Compare)

161 Wailea Ike PL
Suite A104
Kihei, HI 96753-6502
Phone (808) 757-6106

1909 214TH St SE
Suite 211
Bothell, WA 98021-4418
Phone (425) 420-1655

19119 N Creek Pkwy
Suite 102
Bothell, WA 98011-8023
Phone (425) 923-7945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037674WAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS Family Medicine CurrentSince May 8, 2017 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince May 8, 2017 Accepting new patients
Rheumatology Associates of Maui, LLC Rheumatology CurrentSince Jun 1, 2021 Accepting new patients
Western Washington Medical Group, Inc PS Family Medicine Past Accepting new patients
Edmonds Rheumatology Associates Incorporated Rheumatology Past Accepting new patients
North Lake Rheumatology, PLLC Rheumatology PastSince Jun 17, 2026 Accepting new patients

Locations

161 Wailea Ike Pl
Ste A104
Wailea, HI 96753
Phone (808) 757-6106

1909 214th St SE
Ste 211
Bothell, WA 98021
Phone (425) 248-2626

1728 W Marine View Dr
Ste 111
Everett, WA 98201

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

Interoperability endpoints

  • Direct secure messaging: jeff.peterson.p1@direct.hawaiirheum.nextgenshare.com
  • Direct secure messaging: jpeterson727188@direct.multicare.org

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.

Hospital & facility affiliations 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1467491076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19119 N CREEK PKWY STE 102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118023",
            "telephone_number": "425-923-7945",
            "fax_number": "425-248-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19119 N CREEK PKWY STE 102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118023",
            "telephone_number": "425-923-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 214th St SE Ste 211",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980214418",
            "country_code": "US",
            "telephone_number": "425-248-2626",
            "fax_number": "425-248-2627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Wailea Ike Pl Ste A104",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "967536502",
            "country_code": "US",
            "telephone_number": "808-757-6106",
            "fax_number": "866-397-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JEFF",
        "middle_name": "REGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD00037674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.