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NPI · 1356615470 · NPPES-sourced

Keith Petersen DO

ActiveAdult Medicine Physician
NPI Number
1356615470
Type 1 · Individual
Taxonomy Code
207QA0505X
Contact
(253) 968-1340
License WA · 60595760
Last Updated
Enumerated
Primary practice addressWA · 98431-1000
9040 Jackson AveTacoma, WA 98431-1000
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About this NPIWhat this record shows.

NPI 1356615470 is registered to Keith Petersen DO, a Adult Medicine Physician practising at 9040 Jackson Ave in Tacoma, Washington. Adult Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Keith Petersen DO has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Keith Petersen DO accepts. To confirm in-network status with your specific health plan, contact Keith Petersen DO directly at (253) 968-1340.

Frequently asked

Yes. NPI 1356615470 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adult Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (253) 968-1340.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Keith Petersen DO is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207QA0505X
Last updated
Enumerated
StatusActive
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5 records · same addressOther providers at this location.

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Same specialtyOther Adult Medicine Physician providers in Washington.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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