Armen G Ketchedjian, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

035600 Issued in CT

Practice address

929 Boston Post Rd
Suite 1
Old Saybrook, CT 06475-2143

Phone

(203) 243-7686

Fax

(203) 264-1456

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

New York Medical College, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boca Anesthesia Service IncGroup PAC ID 8325016975, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boca Anesthesia Service Inc

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1780752170
  Medicare reassignment Care Compare group NPD
• East Coast Anesthesia

  dba Armen Ketchedjian, MD

  • Anesthesiology Physician
  • Old Saybrook, CT
  • NPI 1851472054
  NPD (past) Authorized official
• Boca Anesthesia Service Inc

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1710550223
  NPD
• Boca Anesthesia Service Inc

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1740207794
  NPD
• Advanced Colon Care Inc

  dba Shoreline Colonoscopy Suites

  • Ambulatory Surgical Clinic/Center
  • Old Saybrook, CT
  • NPI 1689608697
  NPD (past)
• Greenwich Anesthesiology Associates, PC

  • Anesthesiology Physician
  • Greenwich, CT
  • NPI 1972557486
  NPD (past)

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

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699893099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064880547",
            "telephone_number": "203-243-7686",
            "fax_number": "203-264-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOSTON POST RD",
            "address_2": "SUITE 1",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752143",
            "telephone_number": "203-243-7686",
            "fax_number": "203-264-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHEDJIAN",
        "first_name": "ARMEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "035600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTHNET",
            "identifier": "2V5180",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "500HBA454CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2753812",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl E Scheibe (Saybrook Counseling Center)
• Kathleen C. Laundy Associates, LLC
• Ethan A. Kelly, MSW
• Kennedy & Perkins. Inc.
• Sean Mitchell Kennedy, ATC
• David Fisher Kimble, RN CNS
• King Family Eye Care, LLC
• Matthew Stephen King, O.D.
• KNM Enterprises LLC
• Carrie Kolb

• Anesthesiology Physician in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.