Mark Kettler, MD
NPI 1790790202 · Diagnostic Radiology Physician · Boston, MA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Kettler, MD is a Diagnostic Radiology Physician provider in Boston, MA (NPI 1790790202).
Provider details
- NPI number
- 1790790202
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD15140 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2008-01-31
Frequently asked questions
- What is Mark Kettler's NPI number?
- Mark Kettler's National Provider Identifier (NPI) is 1790790202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Kettler's specialty?
- Mark Kettler is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Kettler located?
- Mark Kettler's practice location on file with NPPES is 820 Harrison Ave, Boston, MA 02118.
- What is Mark Kettler's phone number?
- The practice phone number listed in the NPPES registry for Mark Kettler is (617) 638-6610.
- Does Mark Kettler accept Medicare?
- Mark Kettler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Kettler's NPI active?
- Yes — Mark Kettler's NPI (1790790202) is active in the NPPES registry as of the last update on 2008-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.