Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicholas Ketchum, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1801979885

Dr. Nicholas Ketchum, MD is a Physical Medicine and Rehabilitation in Milwaukee, Wisconsin. Qualified in 2006, 20 years ago. Practices with Center for Neurological Disorders SC, a 7-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 51705 (WI)

Record details

NPI number1801979885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Center For Neurological Disorders Sc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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