Ketasclepius LLC
NPI 1619744158 · Integrative Medicine Physician · Avoca, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketasclepius LLC is a Integrative Medicine Physician organization in Avoca, PA (NPI 1619744158).
Provider details
- NPI number
- 1619744158
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Wilson, Office Manager(727) 517-6524
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- The Good Drop
- Doing business as
- The Good Drop
Registry dates
- Enumerated
- 2023-12-05
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Frequently asked questions
- What is Ketasclepius LLC's NPI number?
- Ketasclepius LLC's National Provider Identifier (NPI) is 1619744158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketasclepius LLC?
- Ketasclepius LLC is classified in the NPPES registry as Integrative Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketasclepius LLC located?
- Ketasclepius LLC's practice location on file with NPPES is 824 Mcalpine St Ste 6, Avoca, PA 18641-1104.
- What is Ketasclepius LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketasclepius LLC is (570) 701-6044.
- Does Ketasclepius LLC accept Medicare?
- Ketasclepius LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ketasclepius LLC?
- The authorized official listed on Ketasclepius LLC's NPPES record is Kelly Wilson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketasclepius LLC's NPI active?
- Yes — Ketasclepius LLC's NPI (1619744158) is active in the NPPES registry as of the last update on 2024-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.