Michael Pietro, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00023940 Issued in WA

Practice address

2979 Squalicum Pkwy Ste 303
Bellingham, WA 98225-1811

Phone

(360) 788-8200

Fax

(360) 788-8329

NPI assigned

Sep 29, 2006

Last updated

May 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpietro15791@direct.peacehealth.org

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.

• Peacehealth

  dba PeaceHealth Medical Group

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1356309553
  Medicare reassignment NPD
• Peacehealth

  dba Peacehealth Peace Island Medical Center

  • Critical Access Hospital
  • Friday Harbor, WA
  • NPI 1487917233
  Medicare reassignment NPD
• Peacehealth

  • Emergency Medicine Physician
  • Friday Harbor, WA
  • NPI 1508129842
  Medicare reassignment NPD
• Peacehealth

  dba PeaceHealth Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Bellingham, WA
  • NPI 1265692842
  NPD
• North Cascade Cardiology PLLC

  • Cardiovascular Disease Physician
  • Bellingham, WA
  • NPI 1659321586
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1700978160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "SUITE #250",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-738-0568",
            "fax_number": "360-647-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY STE 303",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251811",
            "telephone_number": "360-788-8200",
            "fax_number": "360-788-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Spring St",
            "address_purpose": "LOCATION",
            "city": "Friday Harbor",
            "state": "WA",
            "postal_code": "982509782",
            "country_code": "US",
            "telephone_number": "360-378-1738",
            "fax_number": "360-378-1784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 Squalicum Pkwy",
            "address_2": "Suite #250",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251945",
            "country_code": "US",
            "telephone_number": "360-738-0568",
            "fax_number": "360-647-5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRO",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00023940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069749",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Appel Picco, D.O.
• Christopher Nelson Pierce, C.C.P.
• Margaret Mary Pierce, LMHC
• James Marcus Pierson, MD
• Kristen Pietig
• Brian M Pigott, BA
• Andrea Lynn Pike, LMP
• Ryan Pinnell
• Sandra Rocio Pinzon, DDS
• Pioneer Human Services (whatcom community detox)

• Surgery Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.