ELLEN BESS KETTLER
NPI 1275110488
Emergency Medicine in Santa Monica, CA

NPI Status: Active since March 24, 2021

Contact Information

1245 16TH ST STE 125
SANTA MONICA, CA
ZIP 90404
Phone: (310) 301-8860

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  • Individual
  • Female
  • Years of Experience 5
  • Emergency Medicine
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ELLEN KETTLER

This page provides the complete NPI Profile along with additional information for Ellen Kettler, a provider established in Santa Monica, California with a medical specialization in Emergency Medicine and more than 5 years of experience. She graduated from University Of California, San Diego School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1275110488 assigned on March 2021. The practitioner's primary taxonomy code is 207P00000X with license number A187761 (CA). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI
1275110488
Provider Name
ELLEN BESS KETTLER
Gender
Female
Entity Type
Individual
Location Address
1245 16TH ST STE 125 SANTA MONICA, CA 90404
Location Phone
(310) 301-8860
Mailing Address
5767 W CENTURY BLVD STE 400 LOS ANGELES, CA 90045
Mailing Phone
(310) 301-8707
Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
03-24-2021
Last Update Date
07-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
A187761
License State
CA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Medicare Participation & PECOS Enrollment Status

Ellen Kettler is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Ellen Kettler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6305202375

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250513003648

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90404 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $109.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $27.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ELLEN BESS KETTLER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275110488
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145210416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 2 + 1 + 0 + 4 + 1 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1275110488 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114284171 PAULINE YI
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 899-7566
1760800676DR. KRISTOPHER KUKSU YOON M.D.
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1821409822 NUPUR AGRAWAL M.D.
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1629367859 ASHLEY ELIZABETH LEWIS HUNTER
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1184068470 DANIEL KOZMAN M.D.
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1215136098DR. HENRY N. KIROLOS M.D.
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1396713426DR. AMY K WEIMER M.D.
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 301-8714
1508108101 BENJAMIN PAULO LEME MEZA MD
Individual
Pediatrics1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1538449194DR. MARCO ARMANDO HIDALGO PH.D.
Individual
Social Worker (Clinical)1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1801387493 MARIA YOUSUF PATANWALA MD
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1467814731DR. DENISE MAGDALENA NUNEZ M.D.
Individual
Preventive Medicine (Public Health & General Preventive Medicine)1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1568849172DR. JOSEPH NWADIUKO MD MPH
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1699235085 JOCELYN REBECCA LO
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1821474958MISS ANNICA M SHUMNY PA-C
Individual
Physician Assistant1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1760974067 CECILE LIA YAMA MD
Individual
Pediatrics1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1609372606 THOMAS ROBERT ELLIOTT
Individual
Pediatrics1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1144763186 SARAH JIN YUN OT
Individual
Occupational Therapist1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1740749837DR. NOAH KOJIMA MD
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1528885746 CINDY AKIN LCSW
Individual
Social Worker (Clinical)1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900
1336567551 EMILY HUANG
Individual
Internal Medicine1245 16TH ST STE 125
SANTA MONICA, CA 90404
(310) 315-8900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275110488, enumerated in the NPI registry as an "individual" on March 24, 2021

The provider is located at 1245 16th St Ste 125 Santa Monica, Ca 90404 and the phone number is (310) 301-8860

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider has more than 5 years of experience. She graduated from University Of California, San Diego School Of Medicine in 2021.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $109.96 and an average copayment of 27.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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