Ketsia Celestin Louis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME119520 Issued in FL

Practice address

5005 Port St John Pkwy
Cocoa, FL 32927-4305

Phone

(321) 504-0556

Fax

(321) 267-2713

NPI assigned

Apr 7, 2011

Sex

Female

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 FL

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Health Care Plan, Inc

  dba Florida Health Care Plans Inc.

  • Preferred Provider Organization
  • Daytona Beach, FL
  • NPI 1558302042
  Medicare reassignment Care Compare group NPD
• Omni Healthcare, Inc.

  • Specialist
  • Melbourne, FL
  • NPI 1134191323

  Family Medicine

  Medicare reassignment NPD
• Rishi & Srikanth P a

  • Infectious Disease Physician
  • Corpus Christi, TX
  • NPI 1811083488

  FL

  Medicare reassignment NPD
• Florida Health Care Plan, Inc

  dba FHCP ASC - Orange City

  • Ambulatory Surgical Clinic/Center
  • Orange City, FL
  • NPI 1659759827
  NPD

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1235429564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BULLDOG BLVD STE 202",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013188",
            "telephone_number": "321-727-2990",
            "fax_number": "321-951-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-504-0556",
            "fax_number": "321-267-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 N Wickham Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402028",
            "country_code": "US",
            "telephone_number": "321-253-4032",
            "fax_number": "321-253-4125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELESTIN LOUIS",
        "first_name": "KETSIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HT936V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Castillo
• Casual Country Living Inc.
• Catrina Pauley, LMHC
• CCHC Inc
• Cecilia Land LCSW-R
• Caroline R Cellich
• Cereus Osteopathic Medicine LLC
• Cfsatc, Inc. (Central Florida Treatment Center)
• Michelle Chaffardet
• Holly Ann Champa, LMHC

• Family Medicine Physician in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.