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

Scott William Ketcham, MD

Individual provider Cardiovascular Disease Physician · NPI 1407340847

Scott William Ketcham, MD is a Cardiovascular Disease (Cardiology) in Ann Arbor, Michigan. Graduated from State University of New York at Buffalo School of Medicine in 2018, 8 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
MI
In the registry since
2018
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

325 Briarwood Cir
Ann Arbor, MI 48108-1605
Phone: (888) 287-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 4301511027 (MI)

Record details

NPI number1407340847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address3621 S State St, Ann Arbor, MI 48108-1633

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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