Individual provider Active NPI

Juliette M Zelada, MD

  • Surgery Physician
  • Ketchikan, AK
National Provider Identifier
1710179882
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
207479 Issued in AK
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

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A880460OtherCABLUE SHIELD PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, HI, AK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100617000105 OR Practitioner - General Surgery 1153481627 Reassigns benefits to 5 organizations
I20110329000580 HI Practitioner - General Surgery 1153481627 Reassigns benefits to 4 organizations
I20240730004028 AK Practitioner - General Surgery 1153481627 Reassigns benefits to 3 organizations

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
Bartlett Regional HospitalGroup PAC ID 1759469174, 25 clinicians
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, shared by 12 NPIs, 46 clinicians

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 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207479AKMDSurgery Physician
A88046CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Apr 17, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Apr 23, 2025 Accepting new patients
Kauai Medical Clinic CurrentSince Mar 4, 2011 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 1, 2026 Accepting new patients
Harney District Hospital CurrentSince Mar 1, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Apr 17, 2024 Accepting new patients
Harney District Hospital Current Accepting new patients
Peacehealth Surgery CurrentSince Sep 16, 2024 Accepting new patients
Harney District Hospital CurrentSince Mar 1, 2025 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Kauai Medical Clinic CurrentSince Mar 4, 2011 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Apr 23, 2025 Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Peacehealth Current Accepting new patients
Samuel Mahelona Memorial Hospital Current Accepting new patients
Bartlett Regional Hospital Surgery CurrentSince Jun 24, 2024 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Sep 1, 2025 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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.