William Ketchum, MD
NPI 1063917631 · Surgery Physician · Tacoma, WA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William Ketchum, MD is a Surgery Physician provider in Tacoma, WA (NPI 1063917631).
Provider details
- NPI number
- 1063917631
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61586721 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4494 North Palmer RoadBethesda, MD 20889-0001Phone: (786) 973-7400
- 1802 Yakima Ave Ste 104Tacoma, WA 98405-5303Phone: (253) 426-6272Fax: (253) 426-4060
Registry dates
- Enumerated
- 2018-03-27
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Frequently asked questions
- What is William Ketchum's NPI number?
- William Ketchum's National Provider Identifier (NPI) is 1063917631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is William Ketchum's specialty?
- William Ketchum is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is William Ketchum located?
- William Ketchum's practice location on file with NPPES is 9040 Jackson Avenue, Tacoma, WA 98431-0001.
- What is William Ketchum's phone number?
- The practice phone number listed in the NPPES registry for William Ketchum is (253) 968-2252.
- Does William Ketchum accept Medicare?
- William Ketchum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is William Ketchum's NPI active?
- Yes — William Ketchum's NPI (1063917631) is active in the NPPES registry as of the last update on 2025-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.