Active NPI
Ketan Deoras, M.D.
- Psychiatry Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.097819
- 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
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 |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82007 | AZ | MD | Psychiatry Physician |
| 35.097819 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Summa Physicians LLC | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1235167719
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Geriatric Medicine (Internal Medicine) Physician
- Uniontown, OH
- NPI 1457662769
-
- Surgery Physician
- Wadsworth, OH
- NPI 1770881682
-
- Vascular Surgery Physician
- Akron, OH
- NPI 1891743332
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.