Individual provider Active NPI

Peter Allan Talbot, MD

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1760459143
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00015009 Issued in WA
Practice address
611 12TH Ave S
Suite 200
Seattle, WA 98144-1910
Phone
(206) 324-9360
Fax
(206) 324-8910
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00015009 WA
Pediatrics Physician 208000000X MD00015009 WA Primary

Addresses

Primary practice location

611 12TH Ave S
Suite 200
Seattle, WA 98144-1910

Mailing address

PO Box 3364
Seattle, WA 98114-3364
Phone (206) 324-9360

Other identifiers 1

IdentifierTypeStateIssuer
1237205MedicaidWA

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
I20120127000857 WA Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Family Practice 4981861291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice, General Practice
Education
University of Wisconsin School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Indian Health BoardGroup PAC ID 7517866973, 29 clinicians

Practice addresses (Care Compare)

611 12TH Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Indian Health Board CurrentSince May 20, 2017 Accepting new patients
Seattle Indian Health Board Family Medicine CurrentSince May 20, 2017 Accepting new patients
Seattle Indian Health Board Past Accepting new patients
Thunderbird Treatment Center, LLC Past Accepting new patients
Seattle Indian Health Board Past Accepting new patients

Locations

124 2nd Ave S
Seattle, WA 98104
Phone (206) 292-6214

12736 33rd Ave NE
#200
Seattle, WA 98125
Phone (206) 324-9360

611 12th Ave S
Ste 200
Seattle, WA 98144
Phone (206) 324-9360

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

Interoperability endpoints

  • Direct secure messaging: ptalbot348607@direct.ochin.org

Organizations & group practices 5

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1760459143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3364",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143364",
            "telephone_number": "206-324-9360",
            "fax_number": "206-324-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 12TH AVE S",
            "address_2": "SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981441910",
            "telephone_number": "206-324-9360",
            "fax_number": "206-324-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "PETER",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00015009",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00015009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1237205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.