DR. KETAN ARUN KALE MD
NPI 1346553666
Hospitalist in Richland, WA

Active since July 15, 2010PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
888 SWIFT BLVD., RICHLAND, WA 99352(509) 946-4611(509) 942-3115 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 15, 2021, Apr 28, 2017 (2 updates tracked since 2017).

About Dr. Ketan Arun Kale Md NPPES

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

DR. KETAN ARUN KALE MD (NPI 1346553666) is an individual hospitalist provider in Richland, Washington, licensed in Washington (MD60204580) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1346553666
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. KETAN ARUN KALECredential: MD
Location Address888 SWIFT BLVD.Richland, WA 99352
Mailing Address560 Gage Blvd, Suite 203Richland, WA 99352-8650 · (509) 942-3627 · Fax (509) 942-2268
Fax(509) 942-3115
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 15, 2010
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1346553666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WA · MD60204580
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60204580 (WA)
888 SWIFT BLVD., Richland, WA 99352

Other Identifiers 2

Other025904WA · L&i Krmc Group Number
Medicaid1346553666WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ketan Arun Kale Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133390388
PECOS Enrollment IDI20110919000663
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ketan Kale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1717 S J ST # MS 20-15
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
Gastroenterology
1100 9TH AVE
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 1,021 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
66 services66 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500039
Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Other Providers at the Same Location NPPES 19

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

Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine (Critical Care Medicine)
888 SWIFT BLVD.
RICHLAND, WA 99352
Anesthesiology
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Hospitalist
888 SWIFT BLVD., HOSPITAL KADLEC (HOSPITALIST)
RICHLAND, WA 99352

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 Ketan Kale's NPI number?

The NPI number for Ketan Kale is 1346553666. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Ketan Kale located?

Ketan Kale practices at 888 Swift Blvd., Richland, WA 99352. The listed phone number is (509) 946-4611.

What is Ketan Kale's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ketan Kale enrolled in Medicare?

Yes. Ketan Kale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ketan Kale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketan Kale reassigns Medicare benefits to 2 organizations: Franciscan Medical Group (Tacoma, WA) and Virginia Mason Medical Center (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ketan Kale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketan Kale accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ketan Kale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ketan Kale affiliated with any hospitals?

According to CMS data, Ketan Kale is affiliated with St Clare Hospital, Harrison Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Ketan Kale was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.