CAPITOLMED LLC
NPI 1770131930
Internal Medicine in Ketchikan, AK

Active since August 30, 2019
25 JEFFERSON WAY, SUITE 102B, KETCHIKAN, AK 99901(907) 247-7827(973) 215-2052 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Aug 27, 2020, Nov 18, 2019 and 1 more (4 updates tracked since 2019).

About Capitolmed Llc NPPES

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

CAPITOLMED LLC (NPI 1770131930), doing business as Polaris Healthcare, is a healthcare organization registered as an internal medicine in Ketchikan, Alaska and active in the NPI registry since August 2019. The organization lists Kevin A Hall, Owner / Physician, as its authorized official.

NPPES Registry Identity

NPI1770131930
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAPITOLMED LLC
Location Address25 JEFFERSON WAY, SUITE 102BKetchikan, AK 99901-5953
Mailing Address25 Jefferson Way Ste 102bKetchikan, AK 99901-5953 · (907) 247-7827 · Fax (973) 215-2052
Fax(973) 215-2052
Organization SubpartNo
Authorized OfficialKevin A HallOwner / Physician · (907) 247-7827
Enumeration DateAugust 30, 2019
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1770131930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25 JEFFERSON WAY, Ketchikan, AK 99901

Other Names 1

Doing Business AsPolaris Healthcare

Other Identifiers 1

Medicaid1700612AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capitolmed Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Capitolmed LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1467708271
25 JEFFERSON WAY SUITE 102
Ketchikan, AK 99901
(907) 247-7827
✔ PECOS✔ Accepts MedicareSame address

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

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 Capitolmed LLC's NPI number?

The NPI number for Capitolmed LLC is 1770131930. It was assigned to this organization in the NPPES registry on August 30, 2019. The provider is doing business as Polaris Healthcare.

Where is Capitolmed LLC located?

Capitolmed LLC is located at 25 Jefferson Way Suite 102B, Ketchikan, AK 99901. The listed phone number is (907) 247-7827.

What is Capitolmed LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Capitolmed LLC enrolled in Medicare?

Yes. Capitolmed LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capitolmed LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Capitolmed LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Capitolmed LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.