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YOUSIF KETTOOLA MD
NPI 1811573488
Student in an Organized Health Care Education/Training Program in Evansville, IN

Active since March 23, 2021PECOS Enrolled
801 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714(812) 485-5300 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 30, 2026, Mar 23, 2021 (2 updates tracked since 2021).

About Yousif Kettoola Md NPPES

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

YOUSIF KETTOOLA MD (NPI 1811573488) is an individual student in an organized health care education/training program in Evansville, Indiana, licensed in Indiana (01100176A) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chula Vista.

NPPES Registry Identity

NPI1811573488
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameYOUSIF KETTOOLACredential: MD
Location Address801 SAINT MARYS DR STE 300Evansville, IN 47714-0511
Mailing Address801 Saint Marys Dr Ste 300Evansville, IN 47714-0511 · (812) 485-5300
Phone(812) 485-5300
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1811573488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 01100176A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License A200764 (CA)
801 SAINT MARYS DR STE 300, Evansville, IN 47714
Open in Google Maps ↗

Secondary Practice Location 1

Location 12315 Otay Lakes RdChula Vista, CA 91915-1162 · Phone (949) 760-9222

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yousif Kettoola Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$40.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MUHAMMAD ALAMGIR KHAN MBBS
Internal Medicine
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4423
ABDULLA ALHALMY
Student in an Organized Health Care Education/Training Program
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-5300
NIAL WELCH MD
Internal Medicine
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-5300
FARHAAN KHAN DO
Student in an Organized Health Care Education/Training Program
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4291
ERIC M FRIEDMAN
Internal Medicine
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4423
DR. ANGELA ISABELL CZUP MD
Student in an Organized Health Care Education/Training Program
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4291
DR. DANYAL WANI
Internal Medicine
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-5300
DR. EMMANUEL MOSES-FYNN DO
Internal Medicine
801 SAINT MARYS DR STE 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-5300

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 Yousif Kettoola's NPI number?

The NPI number for Yousif Kettoola is 1811573488. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Yousif Kettoola located?

Yousif Kettoola practices at 801 Saint Marys Dr Ste 300, Evansville, IN 47714. The listed phone number is (812) 485-5300.

What is Yousif Kettoola's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Yousif Kettoola enrolled in Medicare?

Yes. Yousif Kettoola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yousif Kettoola was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.