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DR. BAVANA KETHA M.D.
NPI 1164818969
Surgery in Lithonia, GA

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
5910 HILLANDALE DR STE 203, LITHONIA, GA 30058(404) 778-3712 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, Jul 5, 2022 (2 updates tracked since 2022).

About Dr. Bavana Ketha M.d. NPPES

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

DR. BAVANA KETHA M.D. (NPI 1164818969) is an individual surgery provider in Lithonia, Georgia, licensed in Virginia (0101275402) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Emory Hillandale Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164818969
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. BAVANA KETHACredential: M.D.
Location Address5910 HILLANDALE DR STE 203Lithonia, GA 30058-1878
Mailing Address5910 Hillandale Dr Ste 203Lithonia, GA 30058-1878 · (404) 778-3712
Phone(404) 778-3712
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1164818969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101275402
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5910 HILLANDALE DR STE 203, Lithonia, GA 30058
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Bavana 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 ID2466708037
PECOS Enrollment IDI20231108000687
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

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.

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.
29 services12 patients

Hospital Affiliations CMS Care Compare

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

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bavana Ketha's NPI number?

The NPI number for Bavana Ketha is 1164818969. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Bavana Ketha located?

Bavana Ketha practices at 5910 Hillandale Dr Ste 203, Lithonia, GA 30058. The listed phone number is (404) 778-3712.

What is Bavana Ketha's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Bavana Ketha enrolled in Medicare?

Yes. Bavana 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 Bavana Ketha accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bavana 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 Bavana Ketha affiliated with any hospitals?

According to CMS data, Bavana Ketha is affiliated with Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Bavana Ketha was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.