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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAVINARMATHA KETHEESWARAN MD
NPI 1962066878
Family Medicine in Providence, RI

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment
40 CANDACE ST, PROVIDENCE, RI 02908(401) 444-0550(401) 444-0425 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Dec 13, 2023, Jul 22, 2022 and 1 more (4 updates tracked since 2019).

About Pavinarmatha Ketheeswaran Md NPPES

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

PAVINARMATHA KETHEESWARAN MD (NPI 1962066878) is an individual family medicine provider in Providence, Rhode Island, licensed in Florida (ME179335) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Florida International Univ, College Of Medicine (2019).

NPPES Registry Identity

NPI1962066878
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePAVINARMATHA KETHEESWARANCredential: MD
Location Address40 CANDACE STProvidence, RI 02908-3747
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468
Phone(401) 444-0550
Fax(401) 444-0425
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2019
Enumeration DateApril 25, 2019
Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1962066878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME179335✔ Licensed in RI · LP04636✔ Licensed in RI · MD18615
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
40 CANDACE ST, Providence, RI 02908
Open in Google Maps ↗

Secondary Practice Location 1

Location 17814 N Dale Mabry HwyTampa, FL 33614-3220 · Phone (813) 397-5300

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

Pavinarmatha Ketheeswaran 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 ID9830574136
PECOS Enrollment IDI20260507004001
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 02908 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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 20

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

BRYAN J. RODARTE NP
Nurse Practitioner (Family)
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
JUDITH L MORRIS RN
Registered Nurse
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
DR. MARIA CRISTINA CHAN-MELLANA MD
Internal Medicine
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
KATE W. ROBINSON LICSW
Social Worker (Clinical)
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
ANNIE AVILA LICSW
Social Worker (Clinical)
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
DR. NEILAKASH BEHARRY MD
Internal Medicine
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
JENNY R DAVID DO
Obstetrics & Gynecology
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
MRS. GWYNETH GRANTON MD
Internal Medicine
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550

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 Pavinarmatha Ketheeswaran's NPI number?

The NPI number for Pavinarmatha Ketheeswaran is 1962066878. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Pavinarmatha Ketheeswaran located?

Pavinarmatha Ketheeswaran practices at 40 Candace St, Providence, RI 02908. The listed phone number is (401) 444-0550.

What is Pavinarmatha Ketheeswaran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pavinarmatha Ketheeswaran enrolled in Medicare?

Yes. Pavinarmatha Ketheeswaran 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.

When was this NPI record last updated?

The NPPES record for Pavinarmatha Ketheeswaran was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.