Christopher Ketter, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO-04932 Issued in IA

Practice address

2515 SW State St Ste 200
Ankeny, IA 50023-7079

Phone

(515) 964-6999

Fax

(515) 964-6970

NPI assigned

Jul 7, 2015

Last updated

Nov 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Family Practice

Education

Rocky Vista University College of Osteopathic Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Cognitive and Linguistic Center IncGroup PAC ID 5092027409, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Boulder Cognitive and Linguistic Center Inc

  dba Colorado Concussion Clinic

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Wheat Ridge, CO
  • NPI 1205215662
  Medicare reassignment Care Compare group NPD
• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine

  NPD
• Boulder Cognitive and Linguistic Center Inc

  dba Colorado Concussion Clinic

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1699244566
  NPD
• Mercy Clinics, Inc

  dba MercyOne Beaverdale Family Medicine Clinic

  • Primary Care Clinic/Center
  • Des Moines, IA
  • NPI 1710903364
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1750764916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-631-9258",
            "fax_number": "515-643-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 SW STATE ST STE 200",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237079",
            "telephone_number": "515-964-6999",
            "fax_number": "515-964-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTER",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.145304",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Keane, OTD
• Carolynn Jelagat Kemboi
• Chantal Nicole Kendig
• Kelsi VI Kennison, M.S., LMFT
• Kerolos Elsayed DMD PC
• Sara Denise Khan, OD
• Jackson Kigozi, CBHS
• Erin Lynne Kilgore, ARNP
• Laura Kimm, R.D., L.D.
• Olivea King-Perez

• Family Medicine Physician in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.