Keith E. Petersen, DO
Adult Medicine Physician · Tacoma, WA
Keith E. Petersen, DO is an adult medicine physician with a practice address in Tacoma, Washington, and NPI 1356615470, issued on Mar 7, 2012. Check the license (Washington 60595760, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.
- Name
- Keith E. Petersen
- Credential
- DO
- Primary taxonomy
- Adult Medicine Physician 207QA0505X
- License number
- 60595760 WA
Self-reported in NPPES; status is on the state search - Practice location
- 9040 Jackson Ave, Tacoma, WA 98431
- Phone
- (253) 968-1340
- Enumerated
- Mar 7, 2012
- Record last updated
- Mar 12, 2024
- Medicare enrollment
- Enrolled (PECOS I20170529000058); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest adult medicine physician records → All 47 in Washington → Look up another NPI →
Also registered at 9040 Jackson Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joel Abbott, D.O.Internal Medicine Physician1477752723
- Gabrielle Abrahamsen, DPTPhysical Therapist1003264771
- Chad Adams, M.D.Diagnostic Radiology Physician1447691266
- Juliana Adarmes, DNPPsychiatric/Mental Health Nurse Practitioner1578280442
- Cindy Ager, PHARMDPharmacist1568448686
- Jorge Aguilera, PHARM.D.Pharmacist1639607807
Verify Keith E. Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license 60595760Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Multicare Health SystemPuyallup, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Keith E. Petersen among 47 adult medicine physician records in Washington
Keith E. Petersen, DO is one of 47 adult medicine physician records with a practice address in Washington. 45% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 70% of them.
- NPI issued2012 · 70% of these records are older, 21% newer
- In a Medicare fileYes · 45% of these records are
- In the CMS Doctors and Clinicians fileYes · 32% of these records are
- Graduated2012 · median 2001 among the 15 with a school on file
- Record last updated2024 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QA0505X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Medicine Physician providers in Washington
There are 47 adult medicine physician records in Washington.
All 47 in Washington → Every provider in Tacoma → Adult Medicine Physician nationwide →
The 8 adult medicine physician records with the nearest ZIP codes
- Carla Amadei Gatti, MDTacoma, WA 984091053168708
- Kenneth Ritter, M.D.Tacoma, WA 984031285705350
- Alaa Elgharabawi, MDTacoma, WA 984021811844038
- Deborah Hammond, MDTacoma, WA 984021497852123
- Sydney FoutzUniversity Place, WA 984661528936440
- James Redman, DOPort Ludlow, WA 983651528250339
- Meghan Morris, M.D.Port Angeles, WA 983621447538798
- Liliane Bartha, M.D.Olympia, WA 985011306059605
Common questions
What is Keith E. Petersen, DO's NPI number?
Keith E. Petersen, DO's National Provider Identifier (NPI) is 1356615470, issued on Mar 7, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Keith E. Petersen, DO located?
The NPPES record lists a practice address at 9040 Jackson Ave, Tacoma, WA, 98431. Phone: (253) 968-1340. Providers update this record themselves, so call before visiting.
How can I verify Keith E. Petersen, DO's license?
NPPES lists Washington license number 60595760, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.