Individual provider Active NPI

Peter David Reiss, M.D.

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1669855409
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
294612 Issued in NY
Practice address
2600 SW Holden St
Seattle, WA 98126-3505
Phone
(206) 933-7000
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60930116 WA
Psychiatry Physician 2084P0800X 294612 NY Primary

Addresses

Primary practice location

2600 SW Holden St
Seattle, WA 98126-3505

Mailing address

2600 SW Holden St
Seattle, WA 98126-3505

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
I20201112000455 WA Practitioner - Psychiatry 0749527133 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NavosGroup PAC ID 4385545474, 32 clinicians

Practice addresses (Care Compare)

2600 SW Holden St
Seattle, WA 98126-3505
Phone (206) 933-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294612NYMDPsychiatry Physician
60930116WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 16, 2021 Accepting new patients
Virginia Mason Medical Center CurrentSince Jul 14, 2022 Accepting new patients
Navos CurrentSince Apr 16, 2021 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Multicare Health System CurrentSince Apr 16, 2021 Accepting new patients
BHC Fairfax Hospital Inc. Psychiatry CurrentSince Jan 16, 2024 Accepting new patients
Virginia Mason Medical Center Psychiatry CurrentSince Jul 14, 2022 Accepting new patients
Navos CurrentSince Apr 16, 2021 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400

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

10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

2600 SW Holden St
Seattle, WA 98126
Phone (206) 241-0990

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1669855409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW HOLDEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW HOLDEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263505",
            "telephone_number": "206-933-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "60930116",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "294612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.