Ketan M Trivedi, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M6430 Issued in TX

Practice address

1441 N Beckley Ave
Dallas, TX 75203-1201

Phone

(214) 942-5733

Fax

(214) 942-6115

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in TX

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

Emergency Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Physician Resources, LLPGroup PAC ID 7012161375, 91 clinicians

Southlake Emergicare PLLCGroup PAC ID 9638398258, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
• Baylor Scott and White Emergency Hospital Hospital, Burleson, TX, CCN 670107
• Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southlake Emergicare PLLC

  • Emergency Medicine Physician
  • Southlake, TX
  • NPI 1598172033
  Medicare reassignment Care Compare group NPD
• Texas Physician Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1639413289
  Medicare reassignment Care Compare group NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Heb Emergicare PA

  • Emergency Medicine Physician
  • Bedford, TX
  • NPI 1306812193
  NPD (past)

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

• Ebd Bemc Burleson, LLC

  dba Baylor Emergency Medical Center at Mansfield

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1598196206
  Care Compare affiliation
• Ebd Bemc Burleson, LLC

  dba Baylor Scott & White Emergency Hospital Burleson

  • General Acute Care Hospital
  • Burleson, TX
  • NPI 1679903967
  Care Compare affiliation
• Ebd Bemc Burleson, LLC

  dba Baylor Scott & White Emergency Hospital Grand Prairie

  • General Acute Care Hospital
  • Grand Prairie, TX
  • NPI 1831629526
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Mansfield Medical Center

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation
• Southlake Specialty Hospital, LLC

  dba Texas Health Harris Methodist Hospital Southlake

  • General Acute Care Hospital
  • Southlake, TX
  • NPI 1629064928
  Care Compare affiliation

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1205967569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-942-5733",
            "fax_number": "214-942-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-942-5733",
            "fax_number": "214-942-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "KETAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "044835",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M6430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188491801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00604902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188491802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00425512",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AB540",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G4706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8J6424",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hersh Trivedi
• Jaya R Trivedi, MD
• Jigar Trivedi, PHARMD
• Julie B Trivedi, M.D.
• Kathan R Trivedi
• Madhukar Hariprasad Trivedi, MD
• Ritu Raghav Trivedi
• Shamita Trivedi, D.O.
• Joehannah Dorita Trocard, DC
• Hadassah Troen

• Emergency Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.