Doctor profile · Federal record

Dr. KETANKUMAR BODARYA, MD

Psychiatry Physician (CMS: PSYCHIATRY) · Child & Adolescent Psychiatry Physician · Child & Adolescent Psychiatry Physician · Student in an Organized Health Care Education/Training Program · HATTIESBURG, MS

  • NPI 1831496165
  • Accepts Medicare
  • 20 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2117 BROADWAY DRIVE
HATTIESBURG, MS 394023210
(601) 288-8050
fax (601) 288-8058
Additional location
6501 N Charles St
Baltimore, MD 212046819
(401) 938-3000

Credentials & registration

NPPES · NUCC
NPI registered
February 2011 — 15 yrs on file
Profile last updated
June 13, 2025
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
2084P0800X — NUCC code
State licenses (2)
North Carolina #2021-00515 · Maryland #D0081182

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1831496165. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
320
Distinct HCPCS
4
Medicare allowed
$20,556
HCPCS Description Services Patients Avg allowed
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 199 34 $47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 86 29 $75
99239 Hospital discharge day management, more than 30 minutes 20 19 $109
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 15 14 $166

In context: peer comparison

Among 3 peers in this city , average services per provider: 62. This provider delivers 5.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
15
Patients
0
Total drug cost
$300
Drug Type Claims Patients Total cost
Pravastatin Sodium Generic 15 0 $300