Ketchum Family Medicine, PLLC
NPI 1720692650 · Family Medicine Physician · Ketchum, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketchum Family Medicine, PLLC is a Family Medicine Physician organization in Ketchum, ID (NPI 1720692650).
Provider details
- NPI number
- 1720692650
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashley Brown, Owner(208) 721-0676
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Frequently asked questions
- What is Ketchum Family Medicine, PLLC's NPI number?
- Ketchum Family Medicine, PLLC's National Provider Identifier (NPI) is 1720692650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketchum Family Medicine, PLLC?
- Ketchum Family Medicine, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketchum Family Medicine, PLLC located?
- Ketchum Family Medicine, PLLC's practice location on file with NPPES is 431 Walnut Ave N, Ketchum, ID 83340.
- What is Ketchum Family Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ketchum Family Medicine, PLLC is (208) 622-3180.
- Does Ketchum Family Medicine, PLLC accept Medicare?
- Ketchum Family Medicine, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ketchum Family Medicine, PLLC?
- The authorized official listed on Ketchum Family Medicine, PLLC's NPPES record is Ashley Brown, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketchum Family Medicine, PLLC's NPI active?
- Yes — Ketchum Family Medicine, PLLC's NPI (1720692650) is active in the NPPES registry as of the last update on 2020-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.