Peter B Schock, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00014573 Issued in WA

Practice address

1600 116 Ave NE
# 102
Bellevue, WA 98004

Phone

(425) 454-5311

Fax

(425) 454-8188

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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)

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1219/brand/1/csg/1/fhir/r4
• Direct secure messaging: peter.schock.1@31584.direct.athenahealth.com
• Direct secure messaging: peter.schock.1@17428.direct.athenahealth.com

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1821160946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 116 AVE NE",
            "address_2": "# 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-5311",
            "fax_number": "425-454-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116 AVE NE",
            "address_2": "# 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-5311",
            "fax_number": "425-454-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCK",
        "first_name": "PETER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00014573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1287101",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Leigh Schneider, MT-BC
• Ruth Schneider, MSW,LICSW
• Marjorie Lois Schnyder, MSW
• Anastasia Christine Schober
• Devin P Schock, MD
• Casey Riggs Schoonover
• Leah Schoonover, MIT
• Alice G. Schoos, PT
• Jen Schoot
• Paulette Evelyn Schraps, LMT

• Family Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.