DR. COURTLAND KEITH KETEYIAN MD
NPI 1821382235
Preventive Medicine - Public Health & General Preventive Medicine in Jackson, MI

Active since June 02, 2011PECOS Enrolled
205 N. EAST AVENUE, JACKSON, MI 49201(517) 205-5995 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2021, Jan 12, 2017 (2 updates tracked since 2017).

About Dr. Courtland Keith Keteyian Md NPPES

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

DR. COURTLAND KEITH KETEYIAN MD (NPI 1821382235) is an individual public health & general preventive medicine provider in Jackson, Michigan, licensed in Michigan (4301098782) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821382235
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NameDR. COURTLAND KEITH KETEYIANCredential: MD
Location Address205 N. EAST AVENUEJackson, MI 49201
Mailing Address205 N. East AvenueJackson, MI 49201
Sole ProprietorNo
Enumeration DateJune 2, 2011
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
NPI 1821382235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License Licensed in MI · 4301098782
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
205 N. EAST AVENUE, Jackson, MI 49201

Accepted 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)

Dr. Courtland Keith Keteyian 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 5

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

Student in an Organized Health Care Education/Training Program
205 N. EAST AVENUE
JACKSON,, MI 49201
Anesthesiology
205 N. EAST AVENUE, 2ND FL CAB
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N. EAST AVENUE
JACKSON, MI 49201
Physician Assistant
205 N. EAST AVENUE, EMERGENCY DEPARTMENT
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N. EAST AVENUE
JACKSON, MI 49201

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 Courtland Keteyian's NPI number?

The NPI number for Courtland Keteyian is 1821382235. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Courtland Keteyian located?

Courtland Keteyian practices at 205 N. East Avenue, Jackson, MI 49201. The listed phone number is (517) 205-5995.

What is Courtland Keteyian's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Courtland Keteyian enrolled in Medicare?

Yes. Courtland Keteyian is registered in the Medicare PECOS enrollment system.

What insurance does Courtland Keteyian accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Courtland Keteyian 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.

When was this NPI record last updated?

The NPPES record for Courtland Keteyian was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.