Michael R Peterson, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD60329707 Issued in WA

Practice address

12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163

Phone

(844) 344-4209

Fax

(866) 721-9696

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, AK, AZ3 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 3

Specialty

Pathology

Education

University of California, San Diego School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cellnetix Pathology PLLCGroup PAC ID 8224062971, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
• St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
• St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
• Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
• St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cellnetix Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Everett, WA
  • NPI 1356310866
  Medicare reassignment NPD
• Western Washington Pathology PS

  • Anatomic Pathology & Clinical Pathology Physician
  • Tacoma, WA
  • NPI 1073650610
  Medicare reassignment NPD
• Cellnetix Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Palmer, AK
  • NPI 1508129628
  Medicare reassignment NPD
• Cellnetix Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
  • NPI 1598624207
  Medicare reassignment NPD
• Cellnetix Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane, WA
  • NPI 1811262272
  NPD

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

• Commonspirit Washington Community Care

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  Care Compare affiliation
• Franciscan Health System

  • General Acute Care Hospital
  • Gig Harbor, WA
  • NPI 1447406699
  Care Compare affiliation
• Multicare Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation
• Multicare Health System

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461
  Care Compare affiliation
• St Francis Community Hospital

  • General Acute Care Hospital
  • Federal Way, WA
  • NPI 1093713091
  Care Compare affiliation
• St Francis Community Hospital

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1336353069

  Hospital

  Care Compare affiliation
• St Francis Community Hospital

  • General Acute Care Hospital
  • Federal Way, WA
  • NPI 1922305606
  Care Compare affiliation

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1700087376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 E MARGINAL WAY S STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685163",
            "telephone_number": "844-344-4209",
            "fax_number": "866-721-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 E MARGINAL WAY S STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685163",
            "telephone_number": "844-344-4209",
            "fax_number": "866-721-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD60329707",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AK",
            "license": "247990",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A90731",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "80068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donielle Perrine
• Grace Persall
• Deeanna Personius, LW61596199
• Amarri Peterson
• Brooke Peterson
• Dale Lawrence Petrich, DDS
• Matija Petrovcic
• Rachel Adelia Pfaff, PHARMACIST
• Alexandria Pham
• Cathy Minhtam Pham

• Anatomic Pathology & Clinical Pathology Physician in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.

Verify at the official NPI Registry.