Peter Bartline, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD60834494 Issued in WA

Practice address

1330 Rockefeller Ave Ste 520
Everett, WA 98201

Phone

(425) 297-5200

Fax

(425) 297-5210

NPI assigned

Apr 6, 2010

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

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

Specialty

Vascular Surgery

Education

Geisel School of Medicine at Dartmouth, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
• Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Providence Health & Services- Washington

  dba PMG NW Wa

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment Care Compare group NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Kennewick, WA
  • NPI 1023932944
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Auburn, WA
  • NPI 1043365257
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-Cherry Hill

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1154476216
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1245385467
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bellingham, WA
  • NPI 1295145894
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-First Hill

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1295880433
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Port Ludlow, WA
  • NPI 1336019314
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Federal Way, WA
  • NPI 1518012608
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-Edmonds

  • Physiological Laboratory
  • Edmonds, WA
  • NPI 1558417675
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bothell, WA
  • NPI 1619300308
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Port Angeles, WA
  • NPI 1639776842
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services-Wa

  dba Providence Regional Medical Center Everett

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation
• Public Hospital Dist No 1 Skagit

  dba Skagit Valley Hospital

  • General Acute Care Hospital
  • Mount Vernon, WA
  • NPI 1053357244
  Care Compare affiliation

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1902121635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE STE 520",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-297-5200",
            "fax_number": "425-297-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uw Hospitals & Clinics 600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "508-330-9435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Uw Hospitals & Clinics 600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "508-330-9435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 Colby Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011665",
            "country_code": "US",
            "telephone_number": "425-297-5200",
            "fax_number": "425-297-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLINE",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60834494",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "65321",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD60834494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbartline952626@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1330 Rockefeller Ave Ste 520",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbartline952626@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1321 Colby Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lillian Bartis, LMT
• Elizabeth Jean Bartleson, MSW, LICSW
• Diana Bartlett, MSN
• Suzan Bartlett
• Julianna Bartley, MA, LMHCA
• Tiffany A Barton, PAC
• Adam Edward Bashir
• Basic Steps Mental Health
• Mary K Baskin-Thompson, MSN, PMHNP
• Mackenzie Basom, B.S.

• Vascular Surgery Physician in Everett, WA
• Providers in Everett, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.