Ketevani Khetsuriani, M.D.
NPI 1083407688 · Student in an Organized Health Care Education/Training Program · Waterbury, CT
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketevani Khetsuriani, M.D. is a Student in an Organized Health Care Education/Training Program provider in Waterbury, CT (NPI 1083407688).
Provider details
- NPI number
- 1083407688
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Frequently asked questions
- What is Ketevani Khetsuriani's NPI number?
- Ketevani Khetsuriani's National Provider Identifier (NPI) is 1083407688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketevani Khetsuriani's specialty?
- Ketevani Khetsuriani is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Ketevani Khetsuriani located?
- Ketevani Khetsuriani's practice location on file with NPPES is 64 Robbins Street, Waterbury Hospital, Waterbury, CT 06708.
- What is Ketevani Khetsuriani's phone number?
- The practice phone number listed in the NPPES registry for Ketevani Khetsuriani is (203) 573-6162.
- Does Ketevani Khetsuriani accept Medicare?
- Ketevani Khetsuriani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketevani Khetsuriani's NPI active?
- Yes — Ketevani Khetsuriani's NPI (1083407688) is active in the NPPES registry as of the last update on 2025-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.