Active NPI
Elliot James Rapp, M.D.
- Diagnostic Radiology Physician
- Ketchikan, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 211438
- Practice address
- 3100 Tongass Ave
Ketchikan, AK 99901-5746 - Phone
- (907) 228-7644
- Fax
- (907) 228-8337
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 247742 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 211438 | AK | Primary |
Addresses
Primary practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Mailing address
1959 NE Pacific St # Nw001
Box 357115
Seattle, WA 98195-7115
Phone (206) 598-6483
Other practice location 1
1959 NE Pacific St # Nw001
Box 357115
Seattle, WA 98195-7115
Phone (206) 598-6483
Other names 1
- Dr. E. James Rapp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 85.63
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 62 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 10
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211438 | AK | MD | Diagnostic Radiology Physician |
| 247742 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Baker Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northwest Radiologists Inc PS | Diagnostic Radiology | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
4029 Northwest Ave
Ste 201
Bellingham, WA 98226
Interoperability endpoints
- erapp619228@direct.peacehealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1245524172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST # NW001",
"address_2": "BOX 357115",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957115",
"telephone_number": "206-598-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TONGASS AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015746",
"telephone_number": "907-228-7644",
"fax_number": "907-228-8337"
}
],
"practiceLocations": [
{
"address_1": "1959 NE Pacific St # Nw001",
"address_2": "Box 357115",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981957115",
"country_code": "US",
"telephone_number": "206-598-6483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAPP",
"first_name": "ELLIOT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "247742",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "211438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "E.",
"last_name": "RAPP",
"middle_name": "JAMES",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.