ANTONIO PEDROZA (MD) – Family Medicine Physician, NPI 1063426344

ANTONIO PEDROZA (MD) is a healthcare provider. based in Renton, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00025990 (WA). The NPI Number for ANTONIO PEDROZA (MD) is 1063426344

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
ANTONIO PEDROZA (MD)
NPI
1063426344
Phone
(425) 656-5412
Address
3600 LIND AVE SW
Enumeration Date
29 July 2006
Last Update Date
28 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
5698706596
Group Practice PAC ID
4183753965
Professional Enrollment ID
I20050830000446
Address ID
WA980555738RE3915XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for ANTONIO PEDROZA (MD)

  • Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States

    STE 100

    RENTON, WA 980554934

    Phone: (425) 656-5412

    Type: Mailing

  • Valley Professional Center, 3915, Talbot Road South, Talbot Hill, Renton, King County, Washington, 98055, United States

    STE 401

    RENTON, WA 980555738

    Phone: (425) 656-4224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050830000446IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3824$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 98055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183753965View full group profile
NameSpecialtyState
Family PracticeWA
Physical Therapist In Private PracticeWA
Internal Medicine, HospitalistWA
P S Y C H I A T R YWA
Hospice/Palliative Care, Internal MedicineWA
Internal Medicine, HospitalistCA
Family Practice, Emergency MedicineWA
-WA
-WA
Physician AssistantWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find ANTONIO PEDROZA (MD)'s NPI?
You can confirm ANTONIO PEDROZA (MD) with NPI 1063426344; it appears in the national provider directory.
Is ANTONIO PEDROZA (MD)'s NPI currently valid?
The extract we use shows ANTONIO PEDROZA (MD) as active.
What field does ANTONIO PEDROZA (MD) work in?
You can think of ANTONIO PEDROZA (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does ANTONIO PEDROZA (MD) practice in Washington?
You will see Renton, Washington on file for ANTONIO PEDROZA (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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