Active NPI
Raymond Weehan Ke, M.D.
- Reproductive Endocrinology Physician
- Memphis, TN
National Provider Identifier
1790880896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD23920
- Practice address
- 80 Humphreys Ctr
Suite 307
Memphis, TN 38120-2353 - Phone
- (901) 747-2229
- Fax
- (901) 747-4446
- NPI assigned
- Sep 13, 2006
- 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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | MD23920 | TN | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | R-4393 | AR |
Addresses
Primary practice location
80 Humphreys Ctr
Suite 307
Memphis, TN 38120-2353
Mailing address
80 Humphreys Ctr
Suite 307
Memphis, TN 38120-2353
Phone (901) 747-2229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1101982 | Other | CIGNA | |
| 44990941 | Other | TN | AETNA |
| 4053396 | Other | TN | BLUE SHIELD |
| 96370 | Other | AR | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2012 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-4393 | AR | MD | Reproductive Endocrinology Physician |
| MD23920 | TN | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kutteh Ke Fertility Associates of Memphis, PLLC | Reproductive Endocrinology | Past | Accepting new patients |
| St Jude Children'S Research Hospital | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- rke32253@mlh.direct-ci.com
Organizations & group practices 3
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.
-
- Reproductive Endocrinology Physician
- Memphis, TN
- NPI 1588769608
-
- Special Hospital
- Memphis, TN
- NPI 1821432212
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790880896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CTR",
"address_2": "SUITE 307",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202353",
"telephone_number": "901-747-2229",
"fax_number": "901-747-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CTR",
"address_2": "SUITE 307",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202353",
"telephone_number": "901-747-2229",
"fax_number": "901-747-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KE",
"first_name": "RAYMOND",
"middle_name": "WEEHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "TN",
"license": "MD23920",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "AR",
"license": "R-4393",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1101982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "44990941",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "4053396",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "96370",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.