Kevin Arthur Hall, M.D.
Individual provider Active NPI General Practice Physician · Ketchikan, AK
NPI 1467708271 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1467708271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 128432 (AK)
- Practice address
- 25 Jefferson Way
Suite 102
Ketchikan, AK 99901-5953 - Phone
- (907) 247-7827
- Fax
- (973) 215-2052
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
25 Jefferson Way
Suite 102B
Ketchikan, AK 99901-5950
Phone (907) 247-7827
25 Jefferson Way
Suite 102B
Ketchikan, AK 99901-9101
Hospital & facility affiliations
- Peacehealth Ketchikan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NJ, TX, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140611001449 | NJ | Practitioner - General Practice | 3971732538 | Reassigns benefits to 1 organization |
| I20170822003915 | TX | Practitioner - Family Practice | 3971732538 | Reassigns benefits to 1 organization |
| I20191119000061 | AK | Practitioner - General Practice |
3971732538 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21312 | AZ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bountiful | Current |
Accepting new patients | |
| Capitolmed LLC | Current |
Accepting new patients | |
| Madison Medical and Sports Rehabilitation L.L.C | Past |
Accepting new patients |
Locations
25 Jefferson Way
Ste 102B
Ketchikan, AK 99901
Phone (907) 247-7827
25 Jefferson Way
Ste 102
Ketchikan, AK 99901
Phone (201) 259-0289
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 128432 | AK | Yes |
| General Practice Physician | 208D00000X | 21312 | AZ | |
| General Practice Physician | 208D00000X | 25MA09133000 | NJ |
Addresses
Primary practice location
25 Jefferson Way
Suite 102
Ketchikan, AK 99901-5953
Mailing address
25 Jefferson Way Ste 102B
Ketchikan, AK 99901-5953
Phone (201) 259-0289
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1671637 | Medicaid | AK |
Other providers in Ketchikan, AK
- Melinda Guerrero
- Heather D Guthrie
- Holly Guthrie
- Vanessa Marie Hadley
- Noranna Hage
- Valerie Lee Hall
- Tanya Ivanivna Hallgren
- Kelsey Leeann Hamilton
- Matthew Hamilton
- Sarah Hamilton
All providers in Ketchikan, AK · General Practice Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.