KEITH E PETERSEN DO
NPI 1356615470
Family Medicine - Adult Medicine in Tacoma, WA
About Keith E Petersen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH E PETERSEN DO (NPI 1356615470) is an individual adult medicine provider in Tacoma, Washington, licensed in Washington (60595760) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keith E Petersen Do 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Tacoma, WATacoma General Allenmore Hospital
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
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 Keith Petersen's NPI number?
The NPI number for Keith Petersen is 1356615470. It was assigned to this individual provider in the NPPES registry on March 7, 2012.
Where is Keith Petersen located?
Keith Petersen practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1340.
What is Keith Petersen's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Keith Petersen enrolled in Medicare?
Yes. Keith Petersen 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.
What insurance does Keith Petersen accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Keith Petersen 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 Keith Petersen affiliated with any hospitals?
According to CMS data, Keith Petersen is affiliated with St Joseph Medical Center and Tacoma General Allenmore Hospital.
When was this NPI record last updated?
The NPPES record for Keith Petersen was last updated on March 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
