Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ketisha Angelica De Roche, MD

Individual provider Gastroenterology Physician · NPI 1790119493

Ketisha Angelica De Roche, MD is a Gastroenterology in Brooklyn, New York. Qualified in 2013, 13 years ago. Practices with Berkshire Faculty Services Inc, a 275-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2013
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

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone: (718) 270-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 283786 (MA)

Record details

NPI number1790119493
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Berkshire Faculty Services Inc — 275 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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