DR. RANDALL K PETERSEN M.D.
NPI 1467474916
Radiology - Diagnostic Radiology in Bellevue, WA

Active since July 24, 2006
1310 116TH AVE NE, SUITE E, BELLEVUE, WA 98004(425) 250-1145(425) 823-6028 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Randall K Petersen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL K PETERSEN M.D. (NPI 1467474916) is an individual diagnostic radiology provider in Bellevue, Washington, licensed in Washington (MD00029439) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1467474916
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RANDALL K PETERSENCredential: M.D.
Location Address1310 116TH AVE NE, SUITE EBellevue, WA 98004-3817
Mailing Address11811 Ne 128th St, Suite 202Kirkland, WA 98034-7200 · (425) 250-1145 · Fax (425) 823-6028
Fax(425) 823-6028
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467474916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WA · MD00029439
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1310 116TH AVE NE, Bellevue, WA 98004

Other Identifiers 3

Medicare ID-Type Unspecified215100301WA
Medicaid8140261WA
Medicare UPINF22565WA

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1310 116TH AVE NE, SUITE E
BELLEVUE, WA 98004
Radiology (Diagnostic Radiology)
1310 116TH AVE NE, SUITE E
BELLEVUE, WA 98004
Specialist
1310 116TH AVE NE, #C
BELLEVUE, WA 98004
Chiropractor
1310 116TH AVE NE, SUITE A
BELLEVUE, WA 98004
Radiology (Diagnostic Radiology)
1310 116TH AVE NE, SUITE E
BELLEVUE, WA 98004
Radiology (Diagnostic Radiology)
1310 116TH AVE NE, SUITE E
BELLEVUE, WA 98004
Specialist
1310 116TH AVE NE, SUITE A
BELLEVUE, WA 98004
Radiology (Diagnostic Radiology)
1310 116TH AVE NE, SUITE E
BELLEVUE, WA 98004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Petersen's NPI number?

The NPI number for Randall Petersen is 1467474916. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Randall Petersen located?

Randall Petersen practices at 1310 116th Ave NE Suite E, Bellevue, WA 98004. The listed phone number is (425) 250-1145.

What is Randall Petersen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Randall Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.