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KETAN K SHETH MD
NPI 1245209832
Allergy & Immunology in Lafayette, IN

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1345 UNITY PL, SUITE 145A, LAFAYETTE, IN 47905(765) 446-5040(765) 446-5041 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Mar 23, 2021, Jun 15, 2020 (3 updates tracked since 2020).

About Ketan K Sheth Md NPPES

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

KETAN K SHETH MD (NPI 1245209832) is an individual allergy & immunology provider in Lafayette, Indiana, licensed in Indiana (01040024A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1245209832
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameKETAN K SHETHCredential: MD
Location Address1345 UNITY PL, SUITE 145ALafayette, IN 47905-5760
Mailing AddressPo Box 4699Lafayette, IN 47903-4699 · (765) 449-2732 · Fax (765) 449-1196
Phone(765) 446-5040
Fax(765) 446-5041
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1987
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1245209832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in IN · 01040024A
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 01040024A (IN)
1345 UNITY PL, Lafayette, IN 47905
Open in Google Maps ↗

Secondary Practice Location 1

Location 12600 Ferry StLafayette, IN 47904-3055 · Phone (765) 448-8000 · Fax (765) 448-8564

Other Identifiers 1

Medicaid100196140IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Ketan K Sheth Md 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 ID3476539743
PECOS Enrollment IDI20040628000220
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 8

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,489 services37 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
675 services19 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
113 services51 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.
112 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services16 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

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.

UNITY HEALTHCARE, LLC
Allergy & Immunology (Allergy)
1345 UNITY PL, SUITE 145A
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5040
UNITY HEALTHCARE, LLC
Anesthesiology (Pain Medicine)
1345 UNITY PL, SUITE 355
LAFAYETTE, IN 47905
Tippecanoe County (765) 807-7988
JASON M BURGETT MD
Ophthalmology
1345 UNITY PL, SUITE 245
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5130
ROBERT O BIGLER MD
Anesthesiology (Pain Medicine)
1345 UNITY PL, SUITE 355
LAFAYETTE, IN 47905
Tippecanoe County (765) 807-7988
KHOA D LAI MD
Plastic Surgery
1345 UNITY PL, SUITE 210
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5432
REBECCA R REEDER CST
Specialist/Technologist, Other (Surgical Technologist)
1345 UNITY PL, SUITE 310
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5215
UNITY HEALTHCARE, LLC
Plastic Surgery
1345 UNITY PL, SUITE 210
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5432
DAVID HALTER D.O.
Surgery
1345 UNITY PL, SUITE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065

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 Ketan Sheth's NPI number?

The NPI number for Ketan Sheth is 1245209832. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Ketan Sheth located?

Ketan Sheth practices at 1345 Unity Pl Suite 145A, Lafayette, IN 47905. The listed phone number is (765) 446-5040.

What is Ketan Sheth's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Ketan Sheth enrolled in Medicare?

Yes. Ketan Sheth 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 Ketan Sheth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Ketan Sheth 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 Ketan Sheth affiliated with any hospitals?

According to CMS data, Ketan Sheth is affiliated with Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Ketan Sheth was last updated on July 8, 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.