IndividualActive
Tyler Ketterl, M.D.
NPI 1205128543 · Pediatric Hematology & Oncology Physician · Seattle, WA
Provider details
- NPI number
- 1205128543
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD60552603 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4800 Sand Point Way Ne, Ms: Mb.8.501
Seattle, WA 98105
Phone: (206) 987-2106
Fax: (206) 987-3946
Street-level locationGet directions
Mailing address
4800 Sand Point Way Ne, Ms: Mb.8.501
Seattle, WA 98105
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.