Individual provider Active NPI

Ketan Davae, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1700838620
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
159312 Issued in MA
Practice address
3600 Minnesota Dr Ste 500
Edina, MN 55435-7979
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
May 17, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME100882 FL
Diagnostic Radiology Physician 2085R0202X 159312 MA Primary
Diagnostic Radiology Physician 2085R0202X MD.204391 LA

Addresses

Primary practice location

3600 Minnesota Dr Ste 500
Edina, MN 55435-7979

Mailing address

3600 Minnesota Dr Ste 500
Edina, MN 55435-7979
Phone (952) 595-1301

Other practice location 1

795 Middle St
Fall River, MA 02721-1733
Phone (508) 996-3991

Other practice location 2

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, MA, AK, OH, WA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20070709000439 MI Practitioner - Diagnostic Radiology 7012996366 Reassigns benefits to 1 organization
I20090610000266 TX Practitioner - Diagnostic Radiology 7012996366 Reassigns benefits to 1 organization
I20111208000463 MA Practitioner - Diagnostic Radiology 7012996366 Reassigns benefits to 8 organizations
I20190408000534 AK Practitioner - Diagnostic Radiology 7012996366
I20220706003838 OH Practitioner - Diagnostic Radiology 7012996366 Reassigns benefits to 15 organizations
I20220729002249 WA Practitioner - Diagnostic Radiology 7012996366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Pennsylvania Radiology Associates PCGroup PAC ID 4385170810, 48 clinicians
West Florida Radiology Associates PAGroup PAC ID 0941224612, 33 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
RemloGroup PAC ID 5193800258, 32 clinicians

Practice addresses (Care Compare)

Rock Creek, OH 44084
Phone (903) 663-4800

Canton, OH 44704
Phone (952) 595-1100

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

14 Linwood St
Arlington, MA 02474-6608
Phone (952) 595-1100

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

3031 Logan LN
Rock Creek, OH 44084-9444
Phone (952) 595-1100

3031 Logan LN
Unit 13
Rock Creek, OH 44084-9451
Phone (469) 757-1042

419 Whitetail TRL NE
Canton, OH 44704-2491
Phone (850) 678-4131

4972 Whispering Creek CT
Maineville, OH 45039-2503
Phone (404) 851-6577

6898 Wes Curt LN
Goshen, OH 45122-9545
Phone (952) 595-1100

82 Maple St
Norton, MA 02766-2607
Phone (760) 837-8449

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100882FLMDDiagnostic Radiology Physician
MD.204391LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince May 1, 2020 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Remlo Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 21, 2022 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Dec 1, 2022 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 28, 2025 Accepting new patients
Virtual Radiologic Professionals LLC Diagnostic Radiology Current Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Radiology Associates of Muncie, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology CurrentSince Jan 21, 2023 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince Sep 29, 2010 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Dec 1, 2022 Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Sutter Bay Medical Foundation CurrentSince May 1, 2020 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 24, 2025 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 22, 2020 Accepting new patients
Donalsonville Hospital Inc CurrentSince Dec 15, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince May 26, 2020 Accepting new patients
Cambridge Public Health Commission CurrentSince Mar 31, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Oct 25, 2012 Accepting new patients
The Carle Foundation Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Major Hospital Past Accepting new patients
Carle Eureka Hospital Past Accepting new patients
Lone Star Radiology Services PLLC Diagnostic Radiology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Sharon Pennsylvania Hospital Company LLC Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Marquette General Hospital, Inc. Past Accepting new patients
Mercy Hospital Grayling Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
The Mount Vernon Hospital Past Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
St. Anthony Community Hospital Past Accepting new patients
Munising Memorial Hospital Association Past Accepting new patients
Hoopeston Community Memorial Hospital Past Accepting new patients
Aurora Medical Center of Washington County, Inc. Past Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Past Accepting new patients
Baraga County Memorial Hospital Past Accepting new patients
Sutter East Bay Medical Foundation Diagnostic Radiology Past Accepting new patients
South Georgia Medical Center Past Accepting new patients
Lafayette Radiology LLC Diagnostic Radiology Past Accepting new patients
Bon Secours Community Hospital Past Accepting new patients
Mercy Professional Services Diagnostic Radiology Past Accepting new patients
Consultants in Radiology PA Diagnostic Radiology Past Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients
Carle Bromenn Medical Center Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

160 Twin Springs Way
Defuniak Springs, FL 32435
Phone (850) 389-6955

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

Dept 7067
Carol Stream, IL 60122

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

350 Main St
Fl 4
Malden, MA 02148

10 Little Brook Rd
West Wareham, MA 02576

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kdavae@direct.uspi.com

Organizations & group practices 58

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.

View all 58

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1700838620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 500",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357979",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 500",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357979",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Middle St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027211733",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVAE",
        "first_name": "KETAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME100882",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "159312",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.204391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.