Active NPI
Christopher Ketchey, MD
- Anesthesiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME0119596
- Practice address
- 5671 Peachtree Dunwoody Rd NE
Ste. 610
Atlanta, GA 30342-5000 - Phone
- (404) 257-1415
- NPI assigned
- Apr 29, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 63875 | GA | |
| Anesthesiology Physician | 207L00000X | ME0119596 | FL | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd NE
Ste. 610
Atlanta, GA 30342-5000
Mailing address
5671 Peachtree Dunwoody Rd NE
Ste. 610
Atlanta, GA 30342-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003109825B | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York Medical College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-4396
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0119596 | FL | MD | Anesthesiology Physician |
| 63875 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Services of Florida, Inc. | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Physician Specialists in Anesthesia, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiology Physician
- Fort Myers, FL
- NPI 1770841793
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1316968662
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1578854162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD NE",
"address_2": "STE. 610",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD NE",
"address_2": "STE. 610",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-257-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCHEY",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-29",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "63875",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME0119596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003109825B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.