Ketan Trivedi MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KETAN TRIVEDI MD, PLLC

Practice address

4760 Tamiami TRL N Ste 24
Naples, FL 34103-3065

Phone

(239) 331-4870

Fax

(239) 315-4915

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Ketan Trivedi, MD

Title

Managing Member

Phone

(901) 734-9924

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26770/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1598495376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 CALDERA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199057",
            "telephone_number": "901-734-9924",
            "fax_number": "239-315-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRL N STE 24",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033065",
            "telephone_number": "239-331-4870",
            "fax_number": "239-315-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAN TRIVEDI MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "901-734-9924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME96812",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A Kepka, CRNA
• Marc A Kepner
• Kirk Brian Kerle, CRNA
• Katherine J Jean Kerr, RCSWI, CDP
• Timothy L. Kerwin, MD
• Angelique Ketis
• Carolyn Kettelson, CSCM
• Kevin P Rosenbach, MD PA
• Kevin R Smith DC, LLC
• Key Practice Management Solutions LLC

• Family Medicine Physician in Naples, FL
• Providers in Naples, 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 Jun 14, 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.

Verify at the official NPI Registry.