1. Home
  2. Directory
  3. Indiana
  4. Bloomington
  5. Psychiatry Neurology
  6. NPI Profile

LIA R KETTENIS M.D.
NPI 1346459146
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bloomington, IN

Active since May 21, 2007PECOS Enrolled
645 S ROGERS ST, BLOOMINGTON, IN 47403(812) 269-5092 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lia R Kettenis M.d. NPPES

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

LIA R KETTENIS M.D. (NPI 1346459146) is an individual child & adolescent psychiatry provider in Bloomington, Indiana, licensed in Indiana (01063824A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Washington University School Of Medicine (2002).

NPPES Registry Identity

NPI1346459146
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameLIA R KETTENISCredential: M.D.
Location Address645 S ROGERS STBloomington, IN 47403-2353
Mailing Address645 S Rogers StBloomington, IN 47403-2353 · (812) 269-5092
Phone(812) 269-5092
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2002
Enumeration DateMay 21, 2007
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1346459146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IN · 01063824A
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01063824A (IN)
645 S ROGERS ST, Bloomington, IN 47403
Open in Google Maps ↗

Other Identifiers 1

Medicaid200871370AIN

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 (PECOS)

Lia R Kettenis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416041629
PECOS Enrollment IDI20070919000477
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

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

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.

DEBRA HOESMAN
Counselor
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
MR. BARTLEY ALLEN CAMBRIDGE LCSW
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
JULIA ANN BARTLOW R.PH.
Pharmacist
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 355-6340
DEBORAH BOITS LCSW
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
IAN PERROTTE
Case Manager/Care Coordinator
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
JENNIFER CLAYPOOLE
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
DR. JAMES G MARENCIK MD
Psychiatry & Neurology (Psychiatry)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
NICKOLAUS H GASTIL PSYCH
Psychologist (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 314-3400

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 Lia Kettenis's NPI number?

The NPI number for Lia Kettenis is 1346459146. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Lia Kettenis located?

Lia Kettenis practices at 645 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 269-5092.

What is Lia Kettenis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Lia Kettenis enrolled in Medicare?

Yes. Lia Kettenis is registered in the Medicare PECOS enrollment system.

What insurance does Lia Kettenis accept?

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

According to CMS data, Lia Kettenis is affiliated with Indiana University Health Bloomington Hospital.

When was this NPI record last updated?

The NPPES record for Lia Kettenis was last updated on March 5, 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.