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

Rama K. Kethineni, MBBS

Individual provider Nephrology Physician · NPI 1417226721

Rama K. Kethineni, MBBS is a Nephrology in Fayetteville, North Carolina. Qualified in 2022, 4 years ago. Practices with Carolina Kidney Care PA, a 23-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana, North Carolina, Ohio and Utah.

Years since qualifying
4
Licensed in
IN, NC, OH, UT
In the registry since
2011
Specialties on file
4
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone: (910) 484-8114
Fax: (910) 223-0511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 810 Wesley Pines Rd, Lumberton, NC 28358-2358 — (910) 484-8114
  • 30 N 1900 E Rm 4r312, Salt Lake City, UT 84132-0002 — (801) 581-6709

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2023-02989 (NC)
Nephrology Physician Taxonomy 207RN0300X · Licence 11729248-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.125862 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01070789A (IN)

Record details

NPI number1417226721
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedDecember 16, 2011
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carolina Kidney Care Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fayetteville