Organization Active NPI

PNW Arthritis and Rheumatology PLLC

  • Rheumatology Physician
  • Richland, WA
National Provider Identifier
1861285074
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
PNW ARTHRITIS AND RHEUMATOLOGY PLLC
Practice address
1305 Fowler St Ste 1D
Richland, WA 99352-4719
Phone
(509) 528-1866
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Dr. Derek Peacock, MDNPI 1720085038
Title
Co Owner
Phone
(509) 528-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1305 Fowler St Ste 1D
Richland, WA 99352-4719

Mailing address

1305 Fowler St Ste 1D
Richland, WA 99352-4719
Phone (509) 942-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251117003418 WA Part B Supplier - Clinic/Group Practice 0840781944 Receives reassigned benefits from 3 practitioners
Practice locations: Richland, WA

National Provider Directory

National Provider Directory

Locations

1305 Fowler St
Ste 1D
Richland, WA 99352
Phone (509) 528-1866

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJCJDD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1861285074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FOWLER ST STE 1D",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524719",
            "telephone_number": "509-942-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 FOWLER ST STE 1D",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524719",
            "telephone_number": "509-528-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW ARTHRITIS AND RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "509-528-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.