NPIMap

Organization Active NPI

DRS Ketai P C

  • Podiatrist
  • Farmington Hills, MI
National Provider Identifier
1295870582
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
RK000588 Issued in MI
Legal business name
DRS KETAI P C
Practice address
31390 Northwestern Hwy
Suite E
Farmington Hills, MI 48334-2561
Phone
(248) 855-2220
Fax
(248) 855-1068
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Robert Steven Ketai, D.P.M.NPI 1548231699
Title
President
Phone
(248) 855-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X RK000588 MI Primary

Addresses

Primary practice location

31390 Northwestern Hwy
Suite E
Farmington Hills, MI 48334-2561

Mailing address

31390 Northwestern Hwy
Suite E
Farmington Hills, MI 48334-2561
Phone (248) 855-2220

Other identifiers 7

IdentifierTypeStateIssuer
0F3632384812OtherMIMEDICARE PPI
80721OtherMIOMNICARE POS
P76006OtherMIBCN
540F340180OtherMIBCBSM DME
5635300OtherMIBLUE CROSSBLUE SHIELD
101877MedicaidMI
20721OtherMIOMNICARE HMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1295870582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31390 NORTHWESTERN HWY",
            "address_2": "SUITE E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342561",
            "telephone_number": "248-855-2220",
            "fax_number": "248-855-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31390 NORTHWESTERN HWY",
            "address_2": "SUITE E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342561",
            "telephone_number": "248-855-2220",
            "fax_number": "248-855-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS KETAI P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "KETAI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-855-2220",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "RK000588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPI",
            "identifier": "0F3632384812",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE POS",
            "identifier": "80721",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P76006",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM DME",
            "identifier": "540F340180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "5635300",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101877",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE HMO",
            "identifier": "20721",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.