Organization Active NPI

Ketamine Wellness Institute

  • Pain Medicine (Anesthesiology) Physician
  • Chapel Hill, NC
National Provider Identifier
1356898720
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KETAMINE WELLNESS INSTITUTE
Practice address
5915 Farrington Rd Ste 105
Chapel Hill, NC 27517-9900
Phone
(984) 528-7215
Fax
(919) 728-1548
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Bilal Lateef, M.D.NPI 1528404670
Title
Member
Phone
(984) 528-7215

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

5915 Farrington Rd Ste 105
Chapel Hill, NC 27517-9900

Mailing address

5915 Farrington Rd Ste 105
Chapel Hill, NC 27517-9900
Phone (984) 528-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811000097 NC Part B Supplier - Clinic/Group Practice 7810495777 Receives reassigned benefits from 3 practitioners
Practice locations: Chapel Hill, NC

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": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1356898720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 FARRINGTON RD STE 105",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179900",
            "telephone_number": "984-528-7215",
            "fax_number": "919-728-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 FARRINGTON RD STE 105",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179900",
            "telephone_number": "984-528-7215",
            "fax_number": "919-728-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LATEEF",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "984-528-7215",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.