Active NPI
Juliette M Zelada, MD
- Surgery Physician
- Ketchikan, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 207479
- Practice address
- 3100 Tongass Ave
Ketchikan, AK 99901-5746 - Phone
- (907) 225-7346
- Fax
- (907) 228-8325
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A88046 | CA | |
| Surgery Physician | 208600000X | 207479 | AK | Primary |
Addresses
Primary practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Mailing address
1510 San Pablo Street
Suite 514
Los Angeles, CA 90033-5324
Phone (323) 442-5910
Other practice location 1
1510 San Pablo Street
Suite 514
Los Angeles, CA 90033-5324
Phone (323) 442-5910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A880460 | Other | CA | BLUE SHIELD PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, HI, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samuel Mahelona Memorial Hospital
Practice addresses (Care Compare)
1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 815-2260
3268 Hospital Dr
Suite a
Juneau, AK 99801-7800
Phone (907) 796-8713
4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-8311
PO Box
Waimea, HI 96796
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207479 | AK | MD | Surgery Physician |
| A88046 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Hospital District | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| Peacehealth | Surgery | Current | Accepting new patients |
| Harney District Hospital | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Bartlett Regional Hospital | Surgery | Current | Accepting new patients |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Alpine Dermatology, LLC | Past | Accepting new patients | |
| Usc Surgeons, Inc. | Surgery | Past | Accepting new patients |
Locations
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
3225 Hospital Dr
Unit 101A
Juneau, AK 99801
Phone (907) 523-5411
3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 586-2700
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
Dept LA 25339
Pasadena, CA 91185
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
557 W Washington St
Burns, OR 97720
Phone (541) 573-3682
559 W Washington St
Burns, OR 97720
Phone (541) 573-2074
271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
Interoperability endpoints
- jzelada665416@direct.peacehealth.org
Organizations & group practices 20
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.
-
- Surgery Physician
- Juneau, AK
- NPI 1508044835
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Critical Access Hospital
- Burns, OR
- NPI 1285742338
-
- Multi-Specialty Clinic/Center
- Lihue, HI
- NPI 1376596643
-
- Critical Access Hospital
- Waimea, HI
- NPI 1467510743
-
- Specialist
- Kapaa, HI
- NPI 1346419553
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Rural Health Clinic/Center
- Burns, OR
- NPI 1013276195
-
- Multi-Specialty Clinic/Center
- Burns, OR
- NPI 1972113306
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Juneau, AK
- NPI 1891849261
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1699146159
-
- Rural Health Clinic/Center
- Tillamook, OR
- NPI 1841451853
Hospital
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1710179882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 SAN PABLO STREET",
"address_2": "SUITE 514",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335324",
"telephone_number": "323-442-5910",
"fax_number": "323-442-6798"
},
{
"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": "907-225-7346",
"fax_number": "907-228-8325"
}
],
"practiceLocations": [
{
"address_1": "1510 San Pablo Street",
"address_2": "Suite 514",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900335324",
"country_code": "US",
"telephone_number": "323-442-5910",
"fax_number": "323-442-6798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZELADA",
"first_name": "JULIETTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A88046",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "207479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUMBER",
"identifier": "00A880460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 16, 2024; 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.