ELLEN BESS KETTLER
NPI 1275110488
Emergency Medicine in Santa Monica, CA

Q: What is Ellen Kettler's NPI number?

The NPI number for Ellen Kettler is 1275110488. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Ellen Kettler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellen Kettler was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment

1245 16TH ST STE 125, SANTA MONICA, CA 90404(310) 301-8860 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Mar 24, 2021 (2 updates tracked since 2021).

On this page

About Ellen Bess Kettler NPPES

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

ELLEN BESS KETTLER (NPI 1275110488) is an individual emergency medicine provider in Santa Monica, California, licensed in California (A187761) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2021).

NPPES Registry Identity

NPI1275110488

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameELLEN BESS KETTLER

Location Address1245 16TH ST STE 125Santa Monica, CA 90404-1240

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707

Phone(310) 301-8860

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2021

Enumeration DateMarch 24, 2021

Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1275110488 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 · A187761

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.

1245 16TH ST STE 125, Santa Monica, CA 90404

Open in Google Maps ↗

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

Ellen Bess Kettler 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 ID6305202375

PECOS Enrollment IDI20250513003648

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 90404 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

MILENA M KAUFMAN D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)