Individual provider

Geraldine Peterdy, MD

Anatomic Pathology Physician Dermatopathology (Pathology) Physician Medicare enrolled

Geraldine Peterdy, MD is an Anatomic Pathology Physician in Liberty Lake, WA, registered under NPI 1104864792. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 112 S GREENRIDGE DR, Liberty Lake, WA 99019. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

112 S GREENRIDGE DR, Liberty Lake, WA 99019 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD00041937 WA Anatomic Pathology Physician primary
MD00041937 WA Dermatopathology (Pathology) Physician

This provider holds licence MD00041937 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pathology
PAC ID
2668562968

Medicare enrolment is recorded as approved under the provider type Practitioner - Pathology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Anatomic Pathology covers

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. NUCC Health Care Provider Taxonomy, code 207ZP0101X
Allopathic & Osteopathic Physicians Pathology Anatomic Pathology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ZP0101X Anatomic Pathology Physician Anatomic Pathology MD00041937 WA primary
207ZD0900X Dermatopathology (Pathology) Physician Dermatopathology MD00041937 WA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104864792 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 3, 2006
Last updatedNov 17, 2014
StatusActive
Sole proprietorYes
CredentialMD
Practice address 112 S GREENRIDGE DR
Liberty Lake, WA 99019
(509) 255-1000
Mailing address PO BOX 727 ALLIED PATHOLOGY, PC
Liberty Lake, WA 99019
Other identifiers 8331084 (WA)
AB 35581 · MEDICARE WA (WA)
This record was last updated on Nov 17, 2014, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104864792 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 6 4 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 6 8 7 9

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104864792?
NPI 1104864792 is the National Provider Identifier assigned to Geraldine Peterdy, MD in Liberty Lake, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anatomic Pathology cover?
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and…
How do I contact Geraldine Peterdy, MD?
The phone number on file with NPPES is (509) 255-1000, last updated Nov 17, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Geraldine Peterdy, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104864792 a valid number?
Yes. 1104864792 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.