Ketaki Pande, MBBS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

MT228494 Issued in PA

Practice address

501 South Washington Avenue
Scranton, PA 18505

Phone

(570) 591-5153

NPI assigned

Mar 30, 2023

Sex

Female

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 PA

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• The Wright Center Medical Group

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1649836941
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1992409189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION",
            "address_2": "501 SOUTH WASHINGTON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-591-5153",
            "fax_number": "570-343-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH WASHINGTON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-591-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDE",
        "first_name": "KETAKI",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT228494",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Palko, OTR/L, ABDA
• Sabrina Pall
• Karen Michelle Palonis, NCC, LPC
• Dipti Samir Pancholy, M.D.
• Pancoast & Fagerburg Associates
• Sahil Pandya
• Varsha J. Pandya, M.D.
• Ajit Singh Pannu, MD
• Maura Papi, C.R.N.P.
• Cheryl Pappa

• Student in an Organized Health Care Education/Training Program in Scranton, PA
• Providers in Scranton, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.