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ADAM GRAY KETCHUM MD
NPI 1104576735
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 26, 2022PECOS Enrolled
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-2727 Get Directions Write a Review

NPPES record last updated: March 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Gray Ketchum Md NPPES

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

ADAM GRAY KETCHUM MD (NPI 1104576735) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104576735
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM GRAY KETCHUMCredential: MD
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address600 N Wolfe StBaltimore, MD 21287-0005 · (410) 955-2727
Phone(410) 955-2727
Sole ProprietorYes
Enumeration DateMarch 26, 2022
NPPES CertifiedMarch 26, 2022
✔ NPI 1104576735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 N WOLFE ST, Baltimore, MD 21287
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Gray Ketchum Md 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.

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.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Adam Ketchum's NPI number?

The NPI number for Adam Ketchum is 1104576735. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Adam Ketchum located?

Adam Ketchum practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-2727.

What is Adam Ketchum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Ketchum enrolled in Medicare?

Yes. Adam Ketchum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Ketchum was last updated on March 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.