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

Dr. Shivam Ram Kedia, DO

Individual provider Family Medicine Physician · NPI 1013404938

Dr. Shivam Ram Kedia, DO is a Family Practice in Florence, Kentucky. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2018, 8 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
KY
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7766 Ewing Blvd
Florence, KY 41042-7537
Phone: (859) 371-1153
Fax: (859) 647-5113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05102 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence TP272 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013404938
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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