Active NPIIndividual provider

Paul Ketro, MD

Family Medicine in Revere, Massachusetts

NPI Number1851374110
Practice location
425 Revere St, Ell Pond Medical Associates INC, Revere, MA 02151-4543
Fax
781-286-1098
Last updated
July 13, 2026

Paul Ketro is a Family Medicine based in Revere, MA. Paul Ketro practices in Revere, MA and has the professional credentials of MD. The NPI Number for Paul Ketro is 1851374110 and holds a License No. 77202 (MA). The current practice location address for Paul Ketro is 425 Revere St, Ell Pond Medical Associates INC, Revere, MA 02151-4543 and can be reached out via phone at 781-286-1313 and via fax at 781-286-1098.

Provider Profile Details

NPI Number
1851374110
Provider Name
Paul Ketro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
425 Revere St, Ell Pond Medical Associates INC, Revere, MA 02151-4543
Phone Number
781-286-1313
Fax Number
781-286-1098
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Revere St
Ell Pond Medical Associates INC
Revere, MA 02151-4543
City
Revere
Zip
02151-4543
Phone Number
781-286-1313
Fax Number
781-286-1098
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
425 Revere St
Ell Pond Medical Associates INC Attn June Vinard
Revere, MA 02151-4543
City
Revere
State
MA
Zip
02151-4543
Phone Number
781-286-1313
Fax Number
781-286-1098

License Information

License Number
77202
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Paul Ketro, MD?

The NPI number of Paul Ketro, MD is 1851374110. It was assigned on November 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Paul Ketro, MD?

Paul Ketro, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 77202.

Where does Paul Ketro, MD practice?

The practice location is 425 Revere St, Ell Pond Medical Associates INC, Revere, MA 02151-4543. The office can be reached at 781-286-1313 (phone) or 781-286-1098 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851374110 directly on the NPPES registry website.

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