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DR. SRINIVAS KETHARAJU MD
NPI 1346416559
Obstetrics & Gynecology in Ogdensburg, NY

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
3 LYON PL, OGDENSBURG, NY 13669(315) 713-6700(866) 816-0815 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1346416559
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SRINIVAS KETHARAJUCredential: MD
Location Address3 LYON PLOgdensburg, NY 13669-2590
Mailing Address330 Mount Auburn St # 2Cambridge, MA 02138-5597 · (781) 893-5550
Phone(315) 713-6700
Fax(866) 816-0815
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 7, 2008
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1346416559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NY · 280458✔ Licensed in KY · 43564✔ Licensed in MA · 1016377
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3 LYON PL, Ogdensburg, NY 13669
Open in Google Maps ↗

Secondary Practice Location 1

Location 1355 Waverly Oaks Rd Ste 275Waltham, MA 02452-8477 · Phone (781) 893-5550 · Fax (781) 893-4965

Other Identifiers 1

Medicaid04262126NY

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. 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.

PECOS PAC ID2961696422
PECOS Enrollment IDI20150929001726
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.

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, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

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.

DR. GORDON LEIGH HEISS D.O.
Obstetrics & Gynecology
3 LYON PL
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-6700
MARTA ANGHEL, M.D.
Internal Medicine
3 LYON PL
OGDENSBURG, NY 13669
St. Lawrence County (315) 393-3404
CLAXTON MEDICAL PC
Pediatrics
3 LYON PL, SUITE 200
OGDENSBURG, NY 13669
St. Lawrence County (315) 394-7542
DR. MICHAEL SEIDMAN MD
Internal Medicine
3 LYON PL
OGDENSBURG, NY 13669
St. Lawrence County (315) 394-7542
KENNETH HILBORNE FNP-C
Nurse Practitioner (Family)
3 LYON PL
OGDENSBURG, NY 13669
St. Lawrence County (315) 394-7542
GLASINE O LAWSON MD
Obstetrics & Gynecology
3 LYON PL
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-6700
DR. HONEYLEE DUQUE AGUSTIN M.D.
Specialist
3 LYON PL
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-6770
JUAN-DIEGO HARRIS MD
Pain Medicine (Interventional Pain Medicine)
3 LYON PL
OGDENSBURG, NY 13669
St. Lawrence County (315) 394-7542

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.

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 23 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.