DR. JEFFREY K KETCHAM MD NPI 1245229368

NPI Information

  • NPI: 1245229368
  • Provider Name: DR. JEFFREY K KETCHAM, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 8600 N STATE ROUTE 91
    SUITE 250
    PEORIA, IL
    ZIP 61615
  • Phone: (309) 692-5393

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NPI Details

DR. Jeffrey K Ketcham, MD is a family medicine in Peoria, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jeffrey K Ketcham, MD NPI is 1245229368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8600 N STATE ROUTE 91
SUITE 250
PEORIA, IL
ZIP 61615-541
Phone: (309) 692-5393
Fax: (309) 692-2583

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of anesthetic agent and/or steroid into arm nerve bundle (HCPCS:64415)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology0360743479ILLINOISNo
2207LP2900XAnesthesiologyPain Medicine0360743479ILLINOISNo
3207Q00000XFamily Medicine0360743479ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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