DR. SRINIVAS KETHARAJU (MD) – Obstetrics & Gynecology Physician, NPI 1346416559
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,231 OBSTETRICS/GYNECOLOGY in MA
Provider Addresses for DR. SRINIVAS KETHARAJU (MD)
330 MOUNT AUBURN ST # 2
CAMBRIDGE, MA 021385597
Phone: (781) 893-5550
Type: Mailing
355 Waverly Oaks Rd Ste 275
Waltham, MA 024528477
Phone: (781) 893-5550
Fax: (781) 893-4965
Type: Location
Lyon Place, Ogdensburg, Saint Lawrence County, New York, 13669, United States
OGDENSBURG, NY 136692590
Phone: (315) 713-6700
Fax: (866) 816-0815
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: 2024-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150929001726 | I | Obstetrics/Gynecology | NY | TBD |
| I20240730004215 | I | Obstetrics/Gynecology | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 28 | $0 |
Insurance plans in this area (ZIP 02138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | WV | |
| Nurse Practitioner | NY | |
| - | NY |
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