NPIMap

Individual provider Active NPI

Peter Ro, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Edmonds, WA
National Provider Identifier
1861475824
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
MD60389249 Issued in WA
Practice address
21600 Highway 99 Ste 150
Edmonds, WA 98026-8047
Phone
(425) 673-3380
Fax
(425) 673-3382
NPI assigned
Nov 23, 2005
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X MD60389249 WA Primary

Addresses

Primary practice location

21600 Highway 99 Ste 150
Edmonds, WA 98026-8047

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2030092MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pro1043105@wm.providencedirect.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000119 WA Practitioner - Undersea and Hyperbaric MedicinePractitioner - Emergency Medicine 6800794561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: Emergency Medicine
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish EdmondsGroup PAC ID 6305031931, 6 clinicians

Practice addresses (Care Compare)

21616 76TH Ave W
Suite 212
Edmonds, WA 98026-7512
Phone (425) 673-3820

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue260
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

LicenseStateTypeSpecialty
MD60389249WAMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jul 7, 2015 Accepting new patients
Swedish Edmonds CurrentSince Aug 31, 2013 Accepting new patients
Swedish Edmonds Undersea and Hyperbaric Medicine CurrentSince Oct 11, 2023 Accepting new patients
Swedish Edmonds CurrentSince Aug 31, 2013 Accepting new patients
Allied Emergency Physicians, Inc. PastSince Mar 26, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients
Los Robles Emergency Physicians Medical Group PastSince Mar 12, 2023 Accepting new patients

Locations

21600 Highway 99
Ste 150
Edmonds, WA 98026
Phone (425) 673-3380

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21616 76th Ave W
Ste 212
Edmonds, WA 98026
Phone (425) 673-3820

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: pro1043105@wm.providencedirect.org

Organizations & group practices 7

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 12

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1861475824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 150",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268047",
            "telephone_number": "425-673-3380",
            "fax_number": "425-673-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "WA",
            "license": "MD60389249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030092",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pro1043105@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21600 Highway 99 Ste 150",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980268047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.