Individual provider Active NPI

Ketan Deoras, M.D.

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1063681187
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.097819 Issued in OH
Practice address
9500 Euclid Ave
Fa20
Cleveland, OH 44195-0001
Phone
(216) 445-7621
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 82007 AZ
Psychiatry Physician 2084P0800X 35.097819 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Fa20
Cleveland, OH 44195-0001

Mailing address

3591 N Shore Dr
Akron, OH 44333-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20121024000791 OH Practitioner - Sleep MedicinePractitioner - Psychiatry 7911157128 Reassigns benefits to 1 organization
I20150126001861 FL Practitioner - Sleep MedicinePractitioner - Psychiatry 7911157128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Toledo Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1 Park W Blvd
Suite 370
Akron, OH 44320-4212
Phone (330) 835-5531

155 5TH St NE
Barberton, OH 44203-3332

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-6590

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82007AZMDPsychiatry Physician
35.097819OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jul 22, 2019 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Nov 24, 2014 Accepting new patients
Summa Physicians LLC CurrentSince Jul 22, 2019 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

2950 Cleveland Clinic Blvd
Ste 2324
Weston, FL 33331

3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000

1 Park West Blvd
Ste 370
Akron, OH 44320
Phone (330) 376-1902

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

9500 Euclid Ave
#20
Cleveland, OH 44195
Phone (216) 444-0539

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Interoperability endpoints

  • Direct secure messaging: kdeoras23252@summahealth-direct.org

Organizations & group practices 5

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.

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1063681187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 N SHORE DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "FA20",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEORAS",
        "first_name": "KETAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "82007",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.097819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.