What is Michael Ketelaar's NPI number?

Michael Ketelaar's National Provider Identifier (NPI) is 1487705935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Ketelaar's specialty?

Michael Ketelaar is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Michael Ketelaar located?

Michael Ketelaar's practice location on file with NPPES is 1231 W Vine St, Lodi, CA 95240-5109.

What is Michael Ketelaar's phone number?

The practice phone number listed in the NPPES registry for Michael Ketelaar is (209) 368-7121.

Is Michael Ketelaar's NPI active?

Yes — Michael Ketelaar's NPI (1487705935) is active in the NPPES registry as of the last update on 2009-06-17.

IndividualActive

Michael Ketelaar, M. D.

NPI 1487705935 · Surgery Physician · Lodi, CA

Michael Ketelaar, M. D. is a Surgery Physician provider in Lodi, CA (NPI 1487705935).

Provider details

NPI number: 1487705935
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M. D.
Sex: Male
Sole proprietor: Yes
License: C39467 (CA)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense C39467 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% 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

1231 W Vine St

Lodi, CA 95240-5109

Phone: (209) 368-7121

Fax: (209) 368-5750

Street-level locationGet directions

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Mailing address