1. Home
  2. Directory
  3. North Carolina
  4. Chapel Hill
  5. Anesthesiology
  6. NPI Profile

KETAMINE WELLNESS INSTITUTE, LLC
NPI 1740066216
Anesthesiology - Pain Medicine in Chapel Hill, NC

Active since August 31, 2023
5915 FARRINGTON RD STE 105, CHAPEL HILL, NC 27517(907) 885-0206(907) 600-5089 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ketamine Wellness Institute, Llc NPPES

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

KETAMINE WELLNESS INSTITUTE, LLC (NPI 1740066216) is a healthcare organization registered as a pain medicine in Chapel Hill, North Carolina and active in the NPI registry since August 2023. The organization lists Bilal Lateef, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1740066216
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameKETAMINE WELLNESS INSTITUTE, LLC
Location Address5915 FARRINGTON RD STE 105Chapel Hill, NC 27517-9900
Mailing Address1335 Cappoquin WayBurlington, NC 27215-9396 · (907) 885-0206 · Fax (907) 600-5089
Phone(907) 885-0206
Fax(907) 600-5089
Organization SubpartNo
Authorized OfficialBilal LateefMedical Director · (919) 943-9122
Enumeration DateAugust 31, 2023
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1740066216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
5915 FARRINGTON RD STE 105, Chapel Hill, NC 27517
Open in Google Maps ↗

Other Names 1

Doing Business AsKetamine Wellness Institute, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketamine Wellness Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ketamine Wellness Institute, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Jennifer Talley, PMHNP
Nurse Practitioner
NPI 1699498055
28 LETNIKOF RD
Haines, AK 99827
(907) 314-0864
✔ PECOS✔ Accepts Medicare2,965 mi
Desiree Cook, CPNP-PC, PMHNP
Nurse Practitioner
NPI 1831602341
3750 E. COUNTRY FIELD CIRCLE SUITE C
Wasilla, AK 99654
(907) 357-2955
✔ PECOS✔ Accepts Medicare3,449 mi
Nicole Mccune
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164893269
4315 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3973
✔ Accepts Medicare3,465 mi
Muhammad Ashraf, MD
Anesthesiology
NPI 1679912000
4050 LAKE OTIS PKWY STE 208
Anchorage, AK 99508
(907) 885-0206
✔ PECOS✔ Accepts Medicare3,467 mi
Bryn Daisy Borders
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144730458
4050 LAKE OTIS PKWY STE 208
Anchorage, AK 99508
(907) 885-0206
✔ Accepts Medicare3,467 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ketamine Wellness Institute, LLC's NPI number?

The NPI number for Ketamine Wellness Institute, LLC is 1740066216. It was assigned to this organization in the NPPES registry on August 31, 2023.

Where is Ketamine Wellness Institute, LLC located?

Ketamine Wellness Institute, LLC is located at 5915 Farrington Rd Ste 105, Chapel Hill, NC 27517. The listed phone number is (907) 885-0206.

What is Ketamine Wellness Institute, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Ketamine Wellness Institute, LLC enrolled in Medicare?

Yes. Ketamine Wellness Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ketamine Wellness Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Ketamine Wellness Institute, LLC, in Anesthesiology, Certified Registered Nurse Anesthetist (CRNA) and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ketamine Wellness Institute, LLC was last updated on March 22, 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.