NPIMap

Individual provider Active NPI

James G Pelton

  • Radiation Oncology Physician
  • Bellingham, WA
National Provider Identifier
1558449918
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD00020032 Issued in WA
Practice address
3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone
(360) 788-8222
Fax
(360) 788-7759
NPI assigned
Nov 2, 2006
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD00020032 WA Primary

Addresses

Primary practice location

3301 Squalicum Pkwy
Bellingham, WA 98225-1919

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1412

Other practice location 1

1135 116th Ave NE
Suite 160
Bellevue, WA 98004-4623
Phone (425) 688-5289

Other identifiers 2

IdentifierTypeStateIssuer
1251404MedicaidWA
5876OtherINTERNAL ID-MOTOR VEHICLE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100702000223 WA Practitioner - Radiation Oncology 8426189606 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Nebraska College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00020032WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Mar 14, 2022 Accepting new patients
Peacehealth CurrentSince Mar 14, 2022 Accepting new patients
Multicare Health System CurrentSince Mar 2, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Peacehealth Radiation Oncology CurrentSince Oct 28, 2022 Accepting new patients
Multicare Health System Radiation Oncology CurrentSince Mar 2, 2022 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Apr 1, 2023 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Locations

1135 116th Ave NE
Ste 160
Bellevue, WA 98004
Phone (425) 688-5289

1135 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 635-3400

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

3301 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 788-8222

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Organizations & group practices 11

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 5

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1558449918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1412",
            "fax_number": "360-729-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251919",
            "telephone_number": "360-788-8222",
            "fax_number": "360-788-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 116th Ave NE",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044623",
            "country_code": "US",
            "telephone_number": "425-688-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELTON",
        "first_name": "JAMES",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00020032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1251404",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "5876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.