NPIMap

Individual provider Active NPI

Rameshwarnaik Kethavath, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1609809995
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27387 Issued in OK
Practice address
750 NE 13TH St
Oac 200
Oklahoma City, OK 73104-5010
Phone
(405) 271-4351
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD28128 ME
Anesthesiology Physician 207L00000X 10242 ND
Anesthesiology Physician 207L00000X 41645 KY
Anesthesiology Physician 207L00000X MD430541 PA
Anesthesiology Physician 207L00000X 27387 OK Primary

Addresses

Primary practice location

750 NE 13TH St
Oac 200
Oklahoma City, OK 73104-5010

Mailing address

1122 NE 13TH St
Ori 236
Oklahoma City, OK 73117-1039

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526

Other identifiers 4

IdentifierTypeStateIssuer
1609809995MedicaidME
1018630480001MedicaidPA
13805MedicaidND
7100032050MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, ME, MI4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070508000457 PA Practitioner - Anesthesiology 6507860244 Reassigns benefits to 3 organizations
I20240416002049 NY Practitioner - Anesthesiology 6507860244
I20240712001129 ME Practitioner - Anesthesiology 6507860244 Reassigns benefits to 2 organizations
I20260318000844 MI Practitioner - Anesthesiology 6507860244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Anesthesia Consultants, LTDGroup PAC ID 2769378751, 51 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

155 Wilson Ave
Washington Hospital
Washington, PA 15301-3336
Phone (724) 225-7000

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526

232 W 25TH St
Ahn Saint Vincent Anesthesia
Erie, PA 16544-0002
Phone (814) 452-5000

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
328402NYMDLicensed Practical Nurse
41645KYMDAnesthesiology Physician
27387OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince May 27, 2023 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Feb 9, 2026 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince May 12, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince May 27, 2023 Accepting new patients
Spectrum Healthcare Partners, P.a. Anesthesiology CurrentSince Jul 22, 2024 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince May 14, 2024 Accepting new patients
Keystone Anesthesia Consultants, LTD Anesthesiology CurrentSince Jul 7, 2017 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Jul 22, 2024 Accepting new patients
St Clair Anesthesiology Associates Inc Anesthesiology Past Accepting new patients

Locations

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

155 E State St
Albion, PA 16401
Phone (814) 756-4917

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

312 W 25th St
Erie, PA 16502
Phone (814) 452-5309

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

Interoperability endpoints

  • Direct secure messaging: rkethavath354844@wellspan.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1609809995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI 236",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "address_2": "OAC 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-2526",
            "fax_number": "207-662-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETHAVATH",
        "first_name": "RAMESHWARNAIK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD28128",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "10242",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "41645",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD430541",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "27387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609809995",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018630480001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13805",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100032050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.