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DR. DAVID ALOYSIUS KETELAAR M.D.
NPI 1073543542
Emergency Medicine in Santa Maria, CA

Active since July 03, 2006PECOS Enrolled
1400 E CHURCH ST, SANTA MARIA, CA 93454(805) 739-3200(805) 739-3064 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Aloysius Ketelaar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID ALOYSIUS KETELAAR M.D. (NPI 1073543542) is an individual emergency medicine provider in Santa Maria, California, licensed in California (G77236) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073543542
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DAVID ALOYSIUS KETELAARCredential: M.D.
Location Address1400 E CHURCH STSanta Maria, CA 93454-5906
Mailing Address4401 W Memorial Road, Suite 121Oklahoma City, OK 73134-1722 · (405) 751-4664 · Fax (405) 751-4561
Phone(805) 739-3200
Fax(805) 739-3064
Sole ProprietorYes
Enumeration DateJuly 3, 2006
Last NPPES UpdateSeptember 9, 2010
✔ NPI 1073543542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G77236
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1400 E CHURCH ST, Santa Maria, CA 93454
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Other Identifiers 4

Medicare UPING24880CA
Medicare PINWG77236CCA
Medicaid00G772360CA
Medicare PINWG77236BCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Aloysius Ketelaar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JORDAN RYAN WILLIAMS PA-C
Physician Assistant
1400 E CHURCH ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3000
KATELYN YARNOLD LCSW
Social Worker
1400 E CHURCH ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3000
KENTON JONES DO, MS
Student in an Organized Health Care Education/Training Program
1400 E CHURCH ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3000
ERICA CHENG LIU PA-C
Physician Assistant
1400 E CHURCH ST
SANTA MARIA, CA 93454
Santa Barbara County (855) 980-3683
DR. JAMES W JONES M.D.
Internal Medicine (Nephrology)
1400 E CHURCH ST, BUILDING 8
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3561
DR. YOSEF DIAB MD
Internal Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 475-3640
DR. DEBRA LYNN WEINSTEIN M.D.
Emergency Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3200
DR. SIRI ATMA SINGH KHALSA MD
Internal Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Ketelaar's NPI number?

The NPI number for David Ketelaar is 1073543542. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is David Ketelaar located?

David Ketelaar practices at 1400 E Church St, Santa Maria, CA 93454. The listed phone number is (805) 739-3200.

What is David Ketelaar's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Ketelaar enrolled in Medicare?

Yes. David Ketelaar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Ketelaar was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.