DR. VANDANA KETHINI (M.D) – Psychiatry Physician, NPI 1982959839

DR. VANDANA KETHINI (M.D) is a healthcare provider. based in Maywood, New Jersey. specializing in PSYCHIATRY. They hold the professional credentials M.D. They hold a License No. 25MA09928500 (NJ). The NPI Number for DR. VANDANA KETHINI (M.D) is 1982959839

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. VANDANA KETHINI (M.D)
NPI
1982959839
Phone
(281) 224-8769
Address
76 DEMAREST PL
Enumeration Date
17 July 2012
Last Update Date
1 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
2011 (15 years ago)
PAC ID
8325321987
Group Practice PAC ID
8921452350
Professional Enrollment ID
I20170207000289
Address ID
NJ080533422MA525XXNXXX403
Telehealth
Yes
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

1,050 PSYCHIATRY in NJ

Provider Addresses for DR. VANDANA KETHINI (M.D)

  • 76 DEMAREST PL

    MAYWOOD, NJ 076071805

    Phone: (281) 224-8769

    Type: Mailing

  • 230 E RIDGEWOOD AVE

    PARAMUS, NJ 076524142

    Phone: (201) 967-4000

    Type: Location

  • 53 Frontage Rd

    Hampton, NJ 088274031

    Phone: (856) 396-9526

    Fax: (888) 815-3583

    Type: Location

  • 150 Riverside Pkwy Ste 115

    Fredericksburg, VA 224061094

    Phone: (703) 719-8776

    Fax: (888) 815-3583

    Type: Location

  • 3223 S Loop 289

    Lubbock, TX 794231337

    Phone: (512) 222-6419

    Fax: (888) 815-3583

    Type: Location

  • 101 N Monroe St Ste 800

    Tallahassee, FL 323011500

    Phone: (321) 300-2108

    Fax: (888) 815-3583

    Type: Location

  • 380 N MONROE ST

    RIDGEWOOD, NJ 074502315

    Phone: (281) 224-8769

    Type: Mailing

  • 109 W 27TH ST RM 5S

    NEW YORK, NY 100016208

    Phone: (833) 351-8255

    Fax: (888) 815-3583

    Type: Location

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: 2024-10-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170207000289IPsychiatryNJTBD
I20241024002807IPsychiatryFLTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes354103$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7430$0
90792Psychiatric diagnostic evaluation with medical services6059$0
99291Critical care, first 30-74 minutes4222$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3220$0
View full utilization report →

Insurance plans in this area (ZIP 07607)

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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: 8921452350View full group profile
NameSpecialtyState
P S Y C H I A T R YNY
P S Y C H I A T R YNY
P S Y C H I A T R YCT
P S Y C H I A T R YNJ
Clinical Social WorkerNJ
Clinical Social WorkerNY
P S Y C H I A T R YNY
P S Y C H I A T R YNJ
P S Y C H I A T R YNJ
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

How do I look up DR. VANDANA KETHINI (M.D) by NPI?
Use NPI 1982959839 when you need to reference DR. VANDANA KETHINI (M.D) in forms, claims, or directories.
Is DR. VANDANA KETHINI (M.D) currently active in the NPI registry?
CMS-published data lists DR. VANDANA KETHINI (M.D) as an active registrant.
What field does DR. VANDANA KETHINI (M.D) work in?
You can think of DR. VANDANA KETHINI (M.D) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. VANDANA KETHINI (M.D)?
The page summarizes Maywood, New Jersey for DR. VANDANA KETHINI (M.D); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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