NPIMap

Individual provider Active NPI

Peter Tannahill Beatty, MD

  • Diagnostic Radiology Physician
  • Tualatin, OR
National Provider Identifier
1710047592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD19626 Issued in OR
Practice address
19300 SW 65TH
Legacy Meridian Park Hospital
Tualatin, OR 97062-8854
Phone
(503) 692-5737
Fax
(503) 692-5307
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD19626 OR Primary

Addresses

Primary practice location

19300 SW 65TH
Legacy Meridian Park Hospital
Tualatin, OR 97062-8854

Mailing address

6464 SW Borland Road
Suite A4
Tualatin, OR 97062-8854
Phone (503) 692-5737

Other identifiers 1

IdentifierTypeStateIssuer
085956MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100304000453 OR Practitioner - Diagnostic Radiology 6901899152 Reassigns benefits to 6 organizations
I20240528002843 WA Practitioner - Diagnostic Radiology 6901899152 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tualatin Imaging PCGroup PAC ID 8123011392, 18 clinicians
Willamette Radiology Billing Services LLCGroup PAC ID 9335681972, 15 clinicians
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians
Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

Practice addresses (Care Compare)

Vancouver, WA 98660
Phone (509) 525-3720

1111 W Columbia Way
Apt 301
Vancouver, WA 98660-3618
Phone (775) 283-3130

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-7447

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6322

55 W Tietan St
Walla Walla, WA 99362-4445
Phone 50952537201405

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19626ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 15, 2026 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 17, 2010 Accepting new patients
Tualatin Imaging P C Diagnostic Radiology CurrentSince Nov 3, 1997 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Willamette Radiology Billing Services LLC Diagnostic Radiology CurrentSince Mar 26, 2024 Accepting new patients
Alliance Healthcare Services Inc CurrentSince Apr 20, 2024 Accepting new patients
Walla Walla Clinic, Inc. Current Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Jan 15, 2026 Accepting new patients
Anesthesia Associates Northwest LLC Past Accepting new patients
Interventional and Vascular Consultants PC Past Accepting new patients

Locations

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

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 8

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710047592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND ROAD",
            "address_2": "SUITE A4",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628854",
            "telephone_number": "503-692-5737",
            "fax_number": "503-692-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 SW 65TH",
            "address_2": "LEGACY MERIDIAN PARK HOSPITAL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628854",
            "telephone_number": "503-692-5737",
            "fax_number": "503-692-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "PETER",
        "middle_name": "TANNAHILL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD19626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085956",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.