Active NPI
Inna Ketsler, M.D.
- Pulmonary Disease Physician
- Leominster, MA
National Provider Identifier
1417905720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 74268
- Practice address
- 50 Memorial Dr
Suite 202
Leominster, MA 01453-2238 - Phone
- (978) 466-5155
- Fax
- (978) 466-3853
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 74268 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 74268 | MA | Primary |
Addresses
Primary practice location
50 Memorial Dr
Suite 202
Leominster, MA 01453-2238
Mailing address
6 Warwick Dr
Chelmsford, MA 01824-3768
Phone (978) 250-1219
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2296 | Other | NH | HEALTHSOURCE |
| 469686 | Other | MA | AETNA |
| 23240 | Other | MA | HARVARD PILGRIM |
| 3098176 | Medicaid | MA | |
| J12941 | Other | MA | BLUE CROSS BLUE SHIELD |
| 14738 | Other | MA | FALLON COMMUNITY HEALTH |
| 4800282 | Other | MA | UNITED HEALTHCARE |
| 97766601 | Other | MA | NETWORK HEALTH |
| 074268 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74268 | MA | MD | Sleep Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1417905720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WARWICK DR",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243768",
"telephone_number": "978-250-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MEMORIAL DR",
"address_2": "SUITE 202",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532238",
"telephone_number": "978-466-5155",
"fax_number": "978-466-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETSLER",
"first_name": "INNA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MA",
"license": "74268",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "74268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "2296",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "469686",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "23240",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3098176",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J12941",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "14738",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4800282",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "97766601",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "074268",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.