SIVA SANKAR KETHA M.D.
NPI 1164431284
Internal Medicine - Interventional Cardiology in Raleigh, NC

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
3324 SIX FORKS RD, RALEIGH, NC 27609(919) 781-7772 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2021, Nov 27, 2019 (2 updates tracked since 2019).

About Siva Sankar Ketha M.d. NPPES

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

SIVA SANKAR KETHA M.D. (NPI 1164431284) is an individual interventional cardiology provider in Raleigh, North Carolina, licensed in North Carolina (2018-01920) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164431284
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSIVA SANKAR KETHACredential: M.D.
Location Address3324 SIX FORKS RDRaleigh, NC 27609-7233
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0351 · Fax (919) 350-7687
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 7, 2006
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
NPI 1164431284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NC · 2018-01920
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME96490 (FL), 52266 (MN), 104267 (MN)
3324 SIX FORKS RD, Raleigh, NC 27609

Other Identifiers 7

Other202WDNC · Bcbs Of Nc
MedicaidENROLLEDIA
OtherP00918758MN · Railroad Medicare
Medicaid1164431284NC
Medicaid276408300FL
MedicaidENROLLEDMN
OtherNN6996ANC · Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Siva Sankar Ketha M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002817038
PECOS Enrollment IDI20190604001191
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.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
159 services134 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services107 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
71 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services36 patients
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978
This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
52 services45 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 8

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

Specialist
3324 SIX FORKS RD
RALEIGH, NC 27609
Registered Nurse
3324 SIX FORKS RD
RALEIGH, NC 27609
Specialist
3324 SIX FORKS RD
RALEIGH, NC 27609
Internal Medicine (Interventional Cardiology)
3324 SIX FORKS RD
RALEIGH, NC 27609
Internal Medicine (Cardiovascular Disease)
3324 SIX FORKS RD
RALEIGH, NC 27609
Internal Medicine (Cardiovascular Disease)
3324 SIX FORKS RD
RALEIGH, NC 27609
Internal Medicine (Cardiovascular Disease)
3324 SIX FORKS RD
RALEIGH, NC 27609
Internal Medicine (Cardiovascular Disease)
3324 SIX FORKS RD
RALEIGH, NC 27609

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 Siva Ketha's NPI number?

The NPI number for Siva Ketha is 1164431284. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Siva Ketha located?

Siva Ketha practices at 3324 Six Forks Rd, Raleigh, NC 27609. The listed phone number is (919) 781-7772.

What is Siva Ketha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Siva Ketha enrolled in Medicare?

Yes. Siva Ketha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Siva Ketha accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Siva Ketha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Siva Ketha affiliated with any hospitals?

According to CMS data, Siva Ketha is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Siva Ketha was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.