GYANPRAKASH A KETWAROO (M.D.) – Gastroenterology Physician, NPI 1083819635

GYANPRAKASH A KETWAROO (M.D.) is a healthcare provider. based in West haven, Connecticut. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 72223 (CT). The NPI Number for GYANPRAKASH A KETWAROO (M.D.) is 1083819635

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
GYANPRAKASH A KETWAROO (M.D.)
NPI
1083819635
Phone
(203) 932-5711
Address
950 CAMPBELL AVE
Enumeration Date
15 June 2007
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
2036884242
Graduation Year
2007 (19 years ago)
PAC ID
4385887223
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20221102002442
Address ID
CT065103220NE20XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

401 GASTROENTEROLOGY in CT

Provider Addresses for GYANPRAKASH A KETWAROO (M.D.)

  • 950 CAMPBELL AVE

    WEST HAVEN, CT 065162770

    Phone: (203) 932-5711

    Type: Location

  • Michael E. DeBakey VA Medical Center, 2002, Holcombe Boulevard, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    HOUSTON, TX 770304211

    Phone: (713) 791-1414

    Fax: (713) 794-7472

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Boston Scientific Corporation ($142).

Total Amount

$142

General + Research + Ownership

Payments

1

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2022-11-02

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
I20221102002442IGastroenterologyCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06516)

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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: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Does GYANPRAKASH A KETWAROO (M.D.) have a public NPI I can cite?
Public records show GYANPRAKASH A KETWAROO (M.D.) under NPI 1083819635.
Does the public listing show GYANPRAKASH A KETWAROO (M.D.) as active?
GYANPRAKASH A KETWAROO (M.D.)'s NPI record reflects an active status in NPPES.
What services align with GYANPRAKASH A KETWAROO (M.D.)'s listing?
GYANPRAKASH A KETWAROO (M.D.)'s public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is GYANPRAKASH A KETWAROO (M.D.) tied to West Haven, Connecticut?
If you are local to West Haven, Connecticut, GYANPRAKASH A KETWAROO (M.D.) may be relevant to your search.
Who maintains GYANPRAKASH A KETWAROO (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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