DR. PAMELA MARIE DEAVER KETWAROO (M.D.) – Pediatric Radiology Physician, NPI 1922234434
Pediatric Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for DR. PAMELA MARIE DEAVER KETWAROO (M.D.)
575 BEECH ST
HOLYOKE, MA 010402223
Phone:
Type: Mailing
6701 FANNIN ST STE 470
HOUSTON, TX 770302608
Phone: (832) 824-7237
Fax: (832) 825-0160
Type: Location
80 Seymour St
Hartford, CT 061028000
Phone: (860) 972-2585
Type: Location
300 Longwood Ave
Boston, MA 021155724
Phone: (617) 355-6000
Type: Location
575 Beech St
Holyoke, MA 010402223
Phone: (413) 535-4933
Type: Location
Texas Children's Hospital - Clinical Care Center, 6701, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
SUITE 470
HOUSTON, TX 770302608
Phone: (832) 824-7237
Fax: (832) 825-0160
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: 2023-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20161212000437 | I | Diagnostic Radiology | TX | TBD |
| I20220713003138 | I | Diagnostic Radiology | CT | TBD |
| I20230206000189 | I | Diagnostic Radiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | TX | |
| Pediatric Medicine, Allergy/Immunology | TX | |
| Pediatric Medicine, Pulmonary Disease | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| U R O L O G Y | AR | |
| Hematology/Oncology, Pediatric Medicine | TX | |
| - | TX |
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