Michael Ketelaar, M. D.
NPI 1487705935ActiveIndividual· Surgery· Lodi, CA
Surgery (M. D.) in Lodi, California, licensed in CA, with an NPI issued in January 2007.
Overview
| NPI | 1487705935 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. D. |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2007 |
| Last updated in NPPES | Jun 17, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | C39467 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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