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

Samuel James Kettinger, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740841071

Samuel James Kettinger, DPM is a Podiatry in Altamonte Springs, Florida. Qualified in 2019, 7 years ago. Practices with Healthdrive Podiatry Group PC, a 107-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

450 W Central Pkwy Ste 1000
Altamonte Springs, FL 32714-2433
Phone: (321) 397-2699
Fax: (407) 926-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO4304 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1740841071
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Healthdrive Podiatry Group Pc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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