MR. DESIRE N KETCHANDJI (M.D.) – Anesthesiology Physician, NPI 1619364726

MR. DESIRE N KETCHANDJI (M.D.) is a healthcare provider. based in Vancouver, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD194535 (OR). The NPI Number for MR. DESIRE N KETCHANDJI (M.D.) is 1619364726

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. DESIRE N KETCHANDJI (M.D.)
NPI
1619364726
Phone
(360) 828-5396
Address
505 NE 87TH AVE STE 210
Enumeration Date
16 April 2015
Last Update Date
7 February 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5859192668
Graduation Year
2015 (11 years ago)
PAC ID
5991014987
Group Practice PAC ID
3476451105
Professional Enrollment ID
I20220323000626
Address ID
NY144241731CA350XXSTXX300

Contacts

Secure Messaging
dketchandji253477@direct.urmc.rochester.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:11State licenses:4Other namesUpdated within 12 months

867 ANESTHESIOLOGY in OR

Provider Addresses for MR. DESIRE N KETCHANDJI (M.D.)

  • 505 NE 87TH AVE STE 210

    VANCOUVER, WA 986641988

    Phone: (360) 828-5396

    Fax: (360) 828-5455

    Type: Mailing

  • 1015 NW 22ND AVE

    PORTLAND, OR 972103025

    Phone: (360) 828-5396

    Fax: (360) 828-5455

    Type: Location

  • 267 Grant St

    Bridgeport, CT 066102805

    Phone: (217) 670-3067

    Type: Location

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-8211

    Type: Location

  • 3181 SW San Jackson Park Road

    OHSU,

    Portland, OR 97239

    Phone: (503) 494-8211

    Type: Location

  • 22 Bramhall St

    Portland, ME 041023134

    Phone: (207) 662-2526

    Type: Location

  • 601 ELMWOOD AVE BOX 604

    ROCHESTER, NY 146420001

    Phone: (585) 275-1385

    Type: Mailing

  • 350 PARRISH ST

    CANANDAIGUA, NY 144241731

    Phone: (585) 919-2668

    Fax: (585) 396-6455

    Type: Location

  • 209 W EVERGREEN BLVD

    VANCOUVER, WA 986603410

    Phone: (217) 670-3067

    Type: Mailing

  • 3181 SW SAN JACKSON PARK ROAD

    OHSU,

    PORTLAND, OR 97239

    Phone: (503) 494-8211

    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: 2025-02-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200911001838IAnesthesiologyWATBD
I20220323000626IAnesthesiologyNYTBD
I20250218003778IAnesthesiologyMETBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4847$0
00530Anesthesia for insertion of permanent heart pacemaker2322$0
00534Anesthesia for insertion or replace of pacing heart defibrillator1919$0
36620Insertion of artery tube for blood sampling or infusion through skin1717$0
00537Anesthesia for procedure to assess heart electrical activity1616$0
View full utilization report →

Insurance plans in this area (ZIP 98664)

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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: 3476451105View full group profile
NameSpecialtyState
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
-NY
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)NY

Reviews

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Frequently asked questions

Can I use this page to confirm MR. DESIRE N KETCHANDJI (M.D.)'s NPI?
Yes. MR. DESIRE N KETCHANDJI (M.D.) is listed with NPI 1619364726 in the public NPI dataset.
Does the file indicate MR. DESIRE N KETCHANDJI (M.D.) is practicing under active NPI?
Directory data currently reports MR. DESIRE N KETCHANDJI (M.D.) as active.
What is MR. DESIRE N KETCHANDJI (M.D.)'s specialty?
The listing groups MR. DESIRE N KETCHANDJI (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MR. DESIRE N KETCHANDJI (M.D.) on a map?
Expect Vancouver, Washington as a primary anchor for MR. DESIRE N KETCHANDJI (M.D.) unless the record lists multiple sites.
Why does MR. DESIRE N KETCHANDJI (M.D.) have multiple addresses?
10 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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