KETAN P AJUDIA (M.D.) – Internal Medicine Physician, NPI 1114934866

KETAN P AJUDIA (M.D.) is a healthcare provider. based in Placerville, California. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A78074 (CA). The NPI Number for KETAN P AJUDIA (M.D.) is 1114934866

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KETAN P AJUDIA (M.D.)
NPI
1114934866
Phone
(530) 344-5432
Address
1100 MARSHALL WAY
Enumeration Date
2 August 2006
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5306727000
Graduation Year
1994 (32 years ago)
PAC ID
0345217782
Group Practice PAC ID
7517875859
Professional Enrollment ID
I20040914001166
Address ID
CA956828238CA3581XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,302 HOSPITALIST in CA

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Provider Addresses for KETAN P AJUDIA (M.D.)

  • Marshall Medical Center, 1100, Marshall Way, Placerville, El Dorado County, California, 95667, United States

    PLACERVILLE, CA 956676533

    Phone: (530) 344-5432

    Type: Location

  • San Francisco, San Vicente, Zapote del Valle, Tlajomulco de Zuñiga, Jalisco, 45672, Mexico

    SAN FRANCISCO, CA 941450680

    Phone: (530) 622-1441

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040914001166IHospitalistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes379205$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes377214$0
99239Hospital discharge day management, more than 30 minutes256233$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes119117$0
99291Critical care, first 30-74 minutes3830$0
View full utilization report →

Insurance plans in this area (ZIP 95667)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517875859View full group profile
NameSpecialtyState
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
Orthopedic SurgeryCA
Internal MedicineCA
Family Practice, Addiction Medicine, Emergency Medicine, Preventive MedicineCA
G A S T R O E N T E R O L O G YCA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

Does KETAN P AJUDIA (M.D.) have a public NPI I can cite?
Public records show KETAN P AJUDIA (M.D.) under NPI 1114934866.
Does the public listing show KETAN P AJUDIA (M.D.) as active?
KETAN P AJUDIA (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret KETAN P AJUDIA (M.D.)'s specialty?
The extract shows Internal Medicine Physician for KETAN P AJUDIA (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to KETAN P AJUDIA (M.D.)?
KETAN P AJUDIA (M.D.) shows a connection to Placerville, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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