DR. SRINIVAS KETHARAJU MD
NPI 1346416559
Obstetrics & Gynecology in Ogdensburg, NY
About Dr. Srinivas Ketharaju Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SRINIVAS KETHARAJU MD (NPI 1346416559) is an individual obstetrics & gynecology provider in Ogdensburg, New York, licensed in New York (280458) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and maintains a secondary practice location in Waltham.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Srinivas Ketharaju 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.
Medicare Billing Reassignment
Medicare enrollment records show Srinivas Ketharaju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cooperstown, NY 13326
- Reassigned Medicare billing, New York enrollment
- 1,052 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurelia Osborn Fox Memorial Hospital
Acute Care Hospitals · Oneonta, NYBassett Healthcare
Acute Care Hospitals · Cooperstown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13669 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Srinivas Ketharaju's NPI number?
The NPI number for Srinivas Ketharaju is 1346416559. It was assigned to this individual provider in the NPPES registry on May 7, 2008.
Where is Srinivas Ketharaju located?
Srinivas Ketharaju practices at 3 Lyon Pl, Ogdensburg, NY 13669. The listed phone number is (315) 713-6700.
What is Srinivas Ketharaju's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Srinivas Ketharaju enrolled in Medicare?
Yes. Srinivas Ketharaju 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.
Which organization bills Medicare for Srinivas Ketharaju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Srinivas Ketharaju reassigns Medicare benefits to Mary Imogene Bassett Hospital (Cooperstown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Srinivas Ketharaju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Srinivas Ketharaju affiliated with any hospitals?
According to CMS data, Srinivas Ketharaju is affiliated with Aurelia Osborn Fox Memorial Hospital and Bassett Healthcare.
When was this NPI record last updated?
The NPPES record for Srinivas Ketharaju was last updated on August 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.
# Dr. Srinivas Ketharaju, MD · NPI 1346416559
Obstetrics & Gynecology physician in Ogdensburg, New York. Individual provider, active in the CMS NPPES registry since May 7, 2008.
## Identity
- **NPI:** 1346416559 (Entity type: Individual)
- **Enumerated:** May 7, 2008
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 280458 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 LYON PL, Ogdensburg, NY 13669-2590
- **Phone:** (315) 713-6700 · **Fax:** (866) 816-0815
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mary Imogene Bassett Hospital (NPI 1083664221, Cooperstown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** August 29, 2024
- **Other identifiers:** Medicaid 04262126 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1346416559) · Data from the CMS NPPES public registry.