Individual provider Active NPI

Kethes C. Waram, MD

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1689855868
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
44779 Issued in AZ
Practice address
3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2105
Phone
(602) 867-8644
Fax
(602) 795-5698
NPI assigned
Nov 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 44779 AZ Primary
Interventional Cardiology Physician 207RI0011X 44779 AZ

Addresses

Primary practice location

3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2105

Mailing address

PO Box 98819
Las Vegas, NV 89193-8819
Phone (602) 867-8644

Other identifiers 1

IdentifierTypeStateIssuer
707554MedicaidAZ

Other names 1

  • Ketheswaram Caruppannan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000545 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2860573805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Consultants LTDGroup PAC ID 3577551084, 21 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

19646 N 27TH Ave
Suite 408
Phoenix, AZ 85027-4028
Phone (602) 867-8644

7373 N Scottsdale Rd
Suite B120
Scottsdale, AZ 85253-3555
Phone (480) 718-5072

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting38
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Nov 1, 2025 Accepting new patients
Cardiovascular Consultants LTD Current Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 1, 2025 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Cardiovascular Consultants LTD CurrentSince Apr 1, 2015 Accepting new patients

Locations

3624 W Anthem Way
Ste C100
Anthem, AZ 85086
Phone (623) 312-3000

13620 N Saguaro Blvd
Ste 50
Fountain Hls, AZ 85268
Phone (480) 837-6800

5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698

5620 W Thunderbird Rd
Ste D3
Glendale, AZ 85306
Phone (602) 562-9800

18700 N 64th Dr
Ste 101
Glendale, AZ 85308
Phone (623) 561-6211

1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

14155 N 83rd Ave
Ste 136
Peoria, AZ 85381
Phone (623) 847-3884

20565 N 19th Ave
Phoenix, AZ 85027
Phone 61064489002831

19646 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (480) 718-5072

9100 N 2nd St
Ste 321
Phoenix, AZ 85020

4444 N 32nd St
Ste 120
Phoenix, AZ 85018
Phone (480) 718-5072

6036 N 19th Ave
Ste 312
Phoenix, AZ 85015
Phone (602) 246-5570

3805 E Bell Rd
Ste 3100
Phoenix, AZ 85032
Phone (602) 494-3656

19646 N 27th Ave
Phoenix, AZ 85027
Phone (602) 663-9371

8575 E Princess Dr
Ste 115
Scottsdale, AZ 85255
Phone (480) 538-1355

3501 N Scottsdale Rd
Ste 348
Scottsdale, AZ 85251
Phone (480) 874-0771

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

16427 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85254
Phone (480) 718-5072

7373 N Scottsdale Rd
Ste B120
Scottsdale, AZ 85253
Phone (480) 718-5072

10210 N 92nd St
Ste 301
Scottsdale, AZ 85258
Phone (480) 391-0555

7970 E Thompson Peak Pkwy
Ste 101
Scottsdale, AZ 85255
Phone (480) 419-9033

Interoperability endpoints

  • Direct secure messaging: kwaram20519@direct.honorhealth.com
  • Direct secure messaging: ketheswaram@cvc.allscriptsdirect.net
  • Direct secure messaging: kethes.waram.1@31664.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1689855868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98819",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938819",
            "telephone_number": "602-867-8644",
            "fax_number": "602-795-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "SUITE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322105",
            "telephone_number": "602-867-8644",
            "fax_number": "602-795-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARAM",
        "first_name": "KETHES",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "44779",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "44779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707554",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KETHESWARAM",
            "last_name": "CARUPPANNAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.