SIVA S KETHA M.D. NPI 1164431284

NPI Information

NPI: 1164431284
Provider Name: SIVA S KETHA, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: WAKEMED SPECIALISTS GROUP LLC

PECOS Registration: Yes

Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8000
Get Directions

Siva S Ketha, M.D. is an interventional cardiology internal medicine in Raleigh, NC with 23 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Siva S Ketha, M.D. NPI is 1164431284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-8000

The NPI 1164431284 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 3/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		104267	MINNESOTA	No
2	207R00000X	Internal Medicine		ME96490	FLORIDA	No
3	207R00000X	Internal Medicine		52266	MINNESOTA	No
4	207RI0011X	Internal Medicine	Interventional Cardiology	2018-01920	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1164431284	MEDICAID	NORTH CAROLINA
2	202WD	OTHER	NORTH CAROLINA	BCBS OF NC
3	276408300	MEDICAID	FLORIDA
4	ENROLLED	MEDICAID	MINNESOTA
5	ENROLLED	MEDICAID	IOWA
6	P00918758	OTHER	MINNESOTA	RAILROAD MEDICARE
7	NN6996A	OTHER	NORTH CAROLINA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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