Individual provider Active NPI

Pamela Marie Deaver Ketwaroo, M.D.

  • Pediatric Radiology Physician
  • Houston, TX
National Provider Identifier
1922234434
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
R0041 Issued in TX
Practice address
6701 Fannin St Ste 470
Houston, TX 77030-2608
Phone
(832) 824-7237
Fax
(832) 825-0160
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X BP10053732 TX
Diagnostic Radiology Physician 2085R0202X BP10053732 TX
Pediatric Radiology Physician 2085P0229X 247707 MA
Pediatric Radiology Physician 2085P0229X 70289 CT
Pediatric Radiology Physician 2085P0229X 112313 GA
Pediatric Radiology Physician 2085P0229X R0041 TX Primary
Diagnostic Radiology Physician 2085R0202X 70289 CT
Diagnostic Radiology Physician 2085R0202X 247707 MA

Addresses

Primary practice location

6701 Fannin St Ste 470
Houston, TX 77030-2608

Mailing address

575 Beech St
Holyoke, MA 01040-2223

Other practice location 1

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2585

Other practice location 2

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other practice location 3

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 535-4933

Other names 1

  • Dr. Pamela M Deaver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CT, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161212000437 TX Practitioner - Diagnostic Radiology 0648418491 Reassigns benefits to 1 organization
I20220713003138 CT Practitioner - Diagnostic Radiology 0648418491 Reassigns benefits to 4 organizations
I20230206000189 MA Practitioner - Diagnostic Radiology 0648418491 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians

Practice addresses (Care Compare)

8611 N Mopac Expy
Austin, TX 78759-8319
Phone (832) 824-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10053732TXMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Sep 26, 2016 Accepting new patients
Children'S Hospital Radiology Foundation, Inc. Diagnostic Radiology CurrentSince May 6, 2024 Accepting new patients
Farmington Imaging Center, LLC Pediatric Radiology CurrentSince Aug 1, 2022 Accepting new patients
Connecticut Imaging Partners, LLC Pediatric Radiology CurrentSince Aug 1, 2022 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients

Locations

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380

399 Farmington Ave
Lowr 1
Farmington, CT 06032

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

6701 Fannin St
Ste 470
Houston, TX 77030
Phone (832) 824-7237

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

Interoperability endpoints

  • Direct secure messaging: pamela.ketwaroo@xdr.hhchealthdirect.org
  • Direct secure messaging: pketwaroo68595@direct.bostonchildrens.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1922234434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST STE 470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302608",
            "telephone_number": "832-824-7237",
            "fax_number": "832-825-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Beech St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010402223",
            "country_code": "US",
            "telephone_number": "413-535-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETWAROO",
        "first_name": "PAMELA",
        "middle_name": "MARIE DEAVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "BP10053732",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP10053732",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MA",
            "license": "247707",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CT",
            "license": "70289",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "112313",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "R0041",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "70289",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "247707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DEAVER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.