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

Kavantissa Monarawila Keppetipola, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013475201

Kavantissa Monarawila Keppetipola, MD is a Neurosurgery in Chicago, Illinois. Graduated from Rush Medical College of Rush University in 2019, 7 years ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
7
Trained at
Rush Medical College of Rush University
Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chicago, IL

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3875 — (770) 219-9678

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 113510 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013475201
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Chicago