Active NPI
Kethes C. Waram, MD
- Cardiovascular Disease Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 44779
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 707554 | Medicaid | AZ |
Other names 1
- Ketheswaram Caruppannan
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Deer Valley Medical Center
- Honor Health John C. Lincoln Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 38 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Cardiovascular Consultants LTD | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Cardiovascular Consultants LTD | Current | 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
- kwaram20519@direct.honorhealth.com
- ketheswaram@cvc.allscriptsdirect.net
- 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.
-
- Medical Specialty Clinic/Center
- Phoenix, AZ
- NPI 1023073525
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Vascular & Interventional Radiology Physician
- Peoria, AZ
- NPI 1215509989
-
- Physical Medicine & Rehabilitation Physician
- Glendale, AZ
- NPI 1740804996
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.