Active NPI
Ian Dobbe
- Hospitalist Physician
- Ketchikan, AK
National Provider Identifier
1710337381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 146579
- Practice address
- 3100 Tongass Ave
Ketchikan, AK 99901-5746 - Phone
- (907) 228-5171
- Fax
- (907) 228-8335
- NPI assigned
- Jun 15, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD220649 | OR | |
| Hospitalist Physician | 208M00000X | 146579 | AK | Primary |
| Family Medicine Physician | 207Q00000X | 4301109401 | MI | |
| Family Medicine Physician | 207Q00000X | MD220649 | OR | |
| Family Medicine Physician | 207Q00000X | 146579 | AK |
Addresses
Primary practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Mailing address
400 Hobart St
C/O Heather Byers
Cadillac, MI 49601-2331
Phone (231) 876-7807
Other practice location 1
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000
Other practice location 2
400 9th St
Florence, OR 97439-7398
Phone (541) 997-8412
Other practice location 3
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, WA, OR
- 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
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peacehealth
Practice addresses (Care Compare)
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300
Hospital & facility affiliations
- Peacehealth Ketchikan Medical Center
- South Peninsula Hospital
- South Peninsula Hospital
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Family Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth Medical Group Cottage Grove | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Nes Washington, Inc. | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Family Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200
400 9th St
Florence, OR 97439
Phone (541) 997-8412
3015 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 715-4186
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
Interoperability endpoints
- idobbe423356@direct.peacehealth.org
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Creswell, OR
- NPI 1780631267
OR
Hospital & facility affiliations 3
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": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1710337381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HOBART ST",
"address_2": "C/O HEATHER BYERS",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012331",
"telephone_number": "231-876-7807",
"fax_number": "231-876-7176"
},
{
"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": "907-228-5171",
"fax_number": "907-228-8335"
}
],
"practiceLocations": [
{
"address_1": "1400 Medical Campus Dr",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496847823",
"country_code": "US",
"telephone_number": "231-935-8000",
"fax_number": "231-935-8099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 9th St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "OR",
"postal_code": "974397398",
"country_code": "US",
"telephone_number": "541-997-8412",
"fax_number": "541-902-1691",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 Village Dr",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974249700",
"country_code": "US",
"telephone_number": "541-767-5200",
"fax_number": "541-767-5288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBBE",
"first_name": "IAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "MD220649",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AK",
"license": "146579",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301109401",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD220649",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "146579",
"primary": false
}
],
"identifiers": [],
"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 Oct 23, 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.