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KETCHIKAN MEDICAL CENTER
NPI 1801965736
Radiology - Diagnostic Radiology in Ketchikan, AK

Active since November 07, 2006
3100 TONGASS AVE, KETCHIKAN, AK 99901(907) 228-8300(907) 228-8518 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ketchikan Medical Center NPPES

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

KETCHIKAN MEDICAL CENTER (NPI 1801965736) is a healthcare organization registered as a diagnostic radiology in Ketchikan, Alaska and active in the NPI registry since November 2006. The organization lists Patrick J Branco, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801965736
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePEACEHEALTH
Location Address3100 TONGASS AVEKetchikan, AK 99901-5746
Mailing AddressPo Box 1798Bellingham, WA 98227-1798 · (360) 734-5400 · Fax (360) 715-6552
Phone(907) 228-8300
Fax(907) 228-8518
Organization SubpartNo
Authorized OfficialPatrick J BrancoCeo · (907) 228-8300
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 31, 2011
✔ NPI 1801965736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AK · NO NUMBERS ISSUED
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedMidwifeTaxonomy 176B00000X
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License NO NUMBERS ISSUED (AK)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License NO NUMBERS ISSUED (AK)
Also ListedPediatricsTaxonomy 208000000X · License NO NUMBERS ISSUED (AK)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License NO NUMBERS ISSUED (AK)
Also ListedSurgeryTaxonomy 208600000X · License NO NUMBERS ISSUED (AK)
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
3100 TONGASS AVE, Ketchikan, AK 99901
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Other Names 1

Doing Business AsKetchikan Medical Center

Other Identifiers 4

Other6110165AK · Aetna Hospital Pro#
Medicare PINK0000ZBBBLAK
MedicaidMDG235AK
Other7695464AK · Aetna Clinic Pro#

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketchikan Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

160

Medicare enrollment records show 160 clinicians reassign Medicare billing to Ketchikan Medical Center, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner21
Diagnostic Radiology18
Psychiatry15
Family Practice13
General Surgery12
Obstetrics/Gynecology11
Hospitalist9
Anesthesiology8
20 other specialties53

Nearest to this location (20)

See all 160
Alan Christensen, M.D.
Obstetrics/Gynecology
NPI 1194720250
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-7688
✔ PECOS✔ Accepts MedicareSame address
Andrew Pankow, MD
Family Practice
NPI 1790711992
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8140
✔ PECOS✔ Accepts MedicareSame address
Peter Rice, MD
Internal Medicine
NPI 1548291396
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 225-4104
✔ PECOS✔ Accepts MedicareSame address
Victor Chen, M.D.
Psychiatry
NPI 1447562921
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-7660
✔ PECOS✔ Accepts MedicareSame address
Bryan Cothren, M.D.
Psychiatry
NPI 1598144800
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-7660
✔ PECOS✔ Accepts MedicareSame address
Ian Dobbe
Family Practice
NPI 1710337381
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-5171
✔ PECOS✔ Accepts MedicareSame address
Charles Jose, MD, MPH
Family Practice
NPI 1881125938
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8140
✔ PECOS✔ Accepts MedicareSame address
Sarah Katchen, MD
General Surgery
NPI 1922560887
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 225-7346
✔ PECOS✔ Accepts MedicareSame address
Imogen Knight, RDN
Registered Dietitian or Nutrition Professional
NPI 1881561603
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 225-5171
Same address
Gabriella Madsen, MSN, RN, FNP-C
Nurse Practitioner
NPI 1013775410
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8300
✔ PECOS✔ Accepts MedicareSame address
Kevin Maguire, M.D.
Anesthesiology
NPI 1144256132
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8300
✔ PECOS✔ Accepts MedicareSame address
Omar Metwally, MD
Internal Medicine
NPI 1104243336
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8300
✔ PECOSSame address
Jon Miller, MD
Family Practice
NPI 1700453784
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8300
✔ PECOS✔ Accepts MedicareSame address
Katherine Quill, MD
Emergency Medicine
NPI 1467088369
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 225-5171
✔ PECOS✔ Accepts MedicareSame address
Michael Sheflo, D.O.
Internal Medicine
NPI 1073977443
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 225-5171
✔ PECOS✔ Accepts MedicareSame address
John Weaver, MD
Interventional Radiology
NPI 1164928685
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-4644
✔ PECOS✔ Accepts MedicareSame address
Andrew Woerner
Interventional Radiology
NPI 1457857021
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-7644
✔ PECOS✔ Accepts MedicareSame address
Juliette Zelada, MD
General Surgery
NPI 1710179882
3100 TONGASS AVE
Ketchikan, AK 99901
(907) 225-7346
✔ PECOS✔ Accepts MedicareSame address
Sarah Hines, FNP-C
Nurse Practitioner
NPI 1669707584
3528 TONGASS AVE
Ketchikan, AK 99901
(907) 220-4447
✔ PECOS✔ Accepts Medicare0.1 mi
Sean Bhagat, M.D.
Pediatric Medicine
NPI 1972966851
PEACEHEALTH MEDICAL GROUP 3100 TONGASS AVE
Ketchikan, AK 99901
(907) 228-8140
✔ PECOS3.3 mi
See all 160 clinicians

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 Peacehealth's NPI number?

The NPI number for Peacehealth is 1801965736. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Ketchikan Medical Center.

Where is Peacehealth located?

Peacehealth is located at 3100 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 228-8300.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Peacehealth enrolled in Medicare?

Yes. Peacehealth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peacehealth?

According to the CMS Revalidation Reassignment List (October 2026 release), 160 clinicians in 28 Medicare specialties reassign their Medicare billing to Peacehealth. 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. The largest specialties are Nurse Practitioner (21), Diagnostic Radiology (18) and Psychiatry (15). Of these, 18 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peacehealth accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Peacehealth 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.

When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.