Active NPI
Pamela Marie Deaver Ketwaroo, M.D.
- Pediatric Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- R0041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| BP10053732 | TX | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Children'S Hospital Radiology Foundation, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Farmington Imaging Center, LLC | Pediatric Radiology | Current | Accepting new patients |
| Connecticut Imaging Partners, LLC | Pediatric Radiology | Current | Accepting new patients |
| Tic, LLC | Diagnostic Radiology | Current | 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
- pamela.ketwaroo@xdr.hhchealthdirect.org
- 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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1487681912
-
- Diagnostic Radiology Physician
- Wethersfield, CT
- NPI 1740315761
MA, Pediatric Radiology
-
- Diagnostic Radiology Physician
- Farmington, CT
- NPI 1275987802
MA, Pediatric Radiology
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1457702813
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.