Ivan C Ketter, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

422467 Issued in KS

Practice address

2835 SW Mission Woods Dr
Topeka, KS 66614-5616

Phone

(785) 271-1818

Fax

(785) 232-0739

NPI assigned

Jul 18, 2005

Last updated

Mar 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Topeka, KS, CCN 178069
• Elara Caring Home health agency, Topeka, KS, CCN 177242
• University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
• Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iketter191263@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Topeka Physician Group, LLC

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1770008849
  Medicare reassignment Care Compare group NPD
• Topeka Physician Group, LLC

  dba The University of Kansas Physicians Topeka

  • Rural Health Clinic/Center
  • Valley Falls, KS
  • NPI 1902395262
  NPD
• St. Francis Physician Clinics Inc.

  • Family Medicine Physician
  • Topeka, KS
  • NPI 1578870267
  NPD (past)

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

• Caregivers, Inc.

  dba Elara Caring

  • Home Health Agency
  • Topeka, KS
  • NPI 1851335129
  Care Compare affiliation
• Day-by-Day Staff Relief, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Topeka, KS
  • NPI 1891189155
  Care Compare affiliation
• Stormont-Vail Healthcare Inc

  dba Stormont Vail Hospital

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409
  Care Compare affiliation
• Topeka Hospital, LLC

  dba The University of Kansas Health System, St. Francis Campus

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1912423260
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1194724500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1657",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666011657",
            "telephone_number": "785-295-8108",
            "fax_number": "785-231-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SW MISSION WOODS DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145616",
            "telephone_number": "785-271-1818",
            "fax_number": "785-232-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTER",
        "first_name": "IVAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "422467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120190B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kerr
• Cheri L. Kersenbrock-Bartlett, M.S., CCC-SLP
• Krystal Kershaw
• Rendilyn Michele Kersting, ARNP
• Andrea Kessinger
• Kevin M Cassidy DDS, Ms, PA (Cassidy Orthodontics)
• Key Rehabilitation
• Joellen Elizabeth Key, RN
• Laura Key
• Keystone Mental Health, LLC

• Family Medicine Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.

Verify at the official NPI Registry.