Individual provider Active NPI

Peter S Billing, MD

  • Surgery Physician
  • Kirkland, WA
National Provider Identifier
1801817028
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00043561 Issued in WA
Practice address
12303 NE 130TH LN
Ste 405
Kirkland, WA 98034-3059
Phone
(425) 778-2220
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00043561 WA Primary

Addresses

Primary practice location

12303 NE 130TH LN
Ste 405
Kirkland, WA 98034-3059

Mailing address

12303 NE 130TH LN
Ste 405
Kirkland, WA 98034-3059
Phone (425) 778-2220

Other practice location 1

12303 NE 130TH LN
Ste 405
Kirkland, WA 98034-3059
Phone (425) 778-2220 ext. 217

Other identifiers 1

IdentifierTypeStateIssuer
MD00043561OtherWASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043561WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transform Weight Loss LLC Surgery Current Accepting new patients
Transform Weight Loss LLC Surgery Current Accepting new patients
Puget Sound Surgical Clinic Inc Past Accepting new patients

Locations

12303 NE 130th Ln
Ste 405
Kirkland, WA 98034
Phone (425) 242-5412

Interoperability endpoints

  • Direct secure messaging: peter.billing.p1@direct.transformweightloss.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: transform.weightlossllc.p1@direct.transformweightloss.nextgenshare.com

Organizations & group practices 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1801817028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN",
            "address_2": "STE 405",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343059",
            "telephone_number": "425-778-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN",
            "address_2": "STE 405",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343059",
            "telephone_number": "425-778-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12303 NE 130TH LN",
            "address_2": "STE 405",
            "address_purpose": "LOCATION",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343059",
            "country_code": "US",
            "telephone_number": "425-778-2220 x217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLING",
        "first_name": "PETER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00043561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD00043561",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.