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KETAN R SHETH M.D.
NPI 1982621348
Surgery in Cambridge, MA

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1493 CAMBRIDGE ST, CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE, MA 02139(617) 665-3575 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ketan R Sheth M.d. NPPES

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

KETAN R SHETH M.D. (NPI 1982621348) is an individual surgery provider in Cambridge, Massachusetts, licensed in Massachusetts (160186) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Pennsylvania State University College Of Medicine (1997).

NPPES Registry Identity

NPI1982621348
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKETAN R SHETHCredential: M.D.
Location Address1493 CAMBRIDGE ST, CAMBRIDGE HEALTH ALLIANCECambridge, MA 02139-1047
Mailing Address118 Bristers Hill RdConcord, MA 01742-3502 · (617) 591-4738
Phone(617) 665-3575
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1997
Enumeration DateJuly 15, 2006
Last NPPES UpdateDecember 9, 2011
✔ NPI 1982621348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 160186
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1493 CAMBRIDGE ST, Cambridge, MA 02139
Open in Google Maps ↗

Other Identifiers 2

OtherAA43529MA · Harvard Pilgrim
Medicare PINHX4492MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Ketan R Sheth M.d. 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 ID3971577396
PECOS Enrollment IDI20050822001245
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.

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

ZACHARY OLIFF DO
Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
JACOB DYLAN WOLFE LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1646
SARAH-JO SANTILLI RN
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 272-6455
JULIE LYNNE MERCER
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-4212
TAIANA KATSARAS LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1185
ANGELA DE SILVA
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
RORY HAUSER
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (802) 595-9868
CASEY TRAN
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000

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 Ketan Sheth's NPI number?

The NPI number for Ketan Sheth is 1982621348. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Ketan Sheth located?

Ketan Sheth practices at 1493 Cambridge St Cambridge Health Alliance, Cambridge, MA 02139. The listed phone number is (617) 665-3575.

What is Ketan Sheth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ketan Sheth enrolled in Medicare?

Yes. Ketan Sheth 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.

What insurance does Ketan Sheth accept?

Health plans from Anthem Blue Cross and Blue Shield list Ketan Sheth 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 Ketan Sheth affiliated with any hospitals?

According to CMS data, Ketan Sheth is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Ketan Sheth was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.