Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter A Balousek, MD

Individual provider Neurological Surgery Physician · NPI 1063407716

Dr. Peter A Balousek, MD is a Neurosurgery in Renton, Washington. Graduated from University of Michigan Medical School in 1990, 36 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
36
Trained at
University of Michigan Medical School
Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4033 Talbot Rd S Ste 520
Renton, WA 98055-5772
Phone: (425) 690-3586
Fax: (425) 690-9586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD00035044 (WA)

Record details

NPI number1063407716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1990 (36 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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