diff --git a/litellm/llms/openai/realtime/handler.py b/litellm/llms/openai/realtime/handler.py
index 0343f22e7d1..3406414a29d 100644
--- a/litellm/llms/openai/realtime/handler.py
+++ b/litellm/llms/openai/realtime/handler.py
@@ -84,17 +84,20 @@ class OpenAIRealtime(OpenAIChatCompletion):
         """
         Construct the backend websocket URL with all query parameters (including 'model').
         """
-        from httpx import URL
+        from httpx import URL, QueryParams
 
-        api_base = api_base.replace("https://", "wss://")
-        api_base = api_base.replace("http://", "ws://")
-        url = URL(api_base)
-        # Set the correct path
-        url = url.copy_with(path="/v1/realtime")
-        # Include all query parameters including 'model'
-        if query_params:
-            url = url.copy_with(params=query_params)
-        return str(url)
+        api_base_url: Final = URL(api_base)
+        websocket_scheme: Final = {"https": "wss", "http": "ws"}.get(api_base_url.scheme, api_base_url.scheme)
+        base_path: Final = api_base_url.path.rstrip("/")
+        realtime_path: Final = (
+            base_path
+            if base_path.endswith("/v1/realtime")
+            else f"{base_path}/realtime"
+            if base_path.endswith("/v1")
+            else f"{base_path}/v1/realtime"
+        )
+        merged_params: Final = QueryParams(query_params).merge(api_base_url.params)
+        return str(api_base_url.copy_with(scheme=websocket_scheme, path=realtime_path, params=merged_params))
 
     def _make_event_normalizer(self) -> RealtimeEventNormalizer | None:
         """Return a per-session GA event normalizer, or None for passthrough.
diff --git a/tests/test_litellm/llms/openai/realtime/test_openai_realtime_handler.py b/tests/test_litellm/llms/openai/realtime/test_openai_realtime_handler.py
index 4221954d787..b5ef864e686 100644
--- a/tests/test_litellm/llms/openai/realtime/test_openai_realtime_handler.py
+++ b/tests/test_litellm/llms/openai/realtime/test_openai_realtime_handler.py
@@ -9,9 +9,16 @@ from litellm.llms.custom_httpx.http_handler import get_shared_realtime_ssl_conte
 
 
 @pytest.mark.parametrize(
-    "api_base", ["https://api.openai.com/v1", "https://api.openai.com"]
+    ("api_base", "expected_scheme", "expected_path"),
+    [
+        ("https://api.openai.com", "wss", "/v1/realtime"),
+        ("https://api.openai.com/v1", "wss", "/v1/realtime"),
+        ("https://api.openai.com/v1/realtime", "wss", "/v1/realtime"),
+        ("http://localhost:8000/gateway/openai", "ws", "/gateway/openai/v1/realtime"),
+        ("https://gateway.example.com/tenant/openai/v1/", "wss", "/tenant/openai/v1/realtime"),
+    ],
 )
-def test_openai_realtime_handler_url_construction(api_base):
+def test_openai_realtime_handler_url_construction(api_base, expected_scheme, expected_path):
     from litellm.llms.openai.realtime.handler import OpenAIRealtime
 
     handler = OpenAIRealtime()
@@ -21,9 +28,10 @@ def test_openai_realtime_handler_url_construction(api_base):
             "model": "gpt-4o-realtime-preview-2024-10-01",
         },
     )
-    # Model parameter should be included in the URL
-    assert url.startswith("wss://api.openai.com/v1/realtime?")
-    assert "model=gpt-4o-realtime-preview-2024-10-01" in url
+    parsed_url = httpx.URL(url)
+    assert parsed_url.scheme == expected_scheme
+    assert parsed_url.path == expected_path
+    assert parsed_url.params["model"] == "gpt-4o-realtime-preview-2024-10-01"
 
 
 def test_openai_realtime_handler_url_with_extra_params():
@@ -31,16 +39,21 @@ def test_openai_realtime_handler_url_with_extra_params():
     from litellm.types.realtime import RealtimeQueryParams
 
     handler = OpenAIRealtime()
-    api_base = "https://api.openai.com/v1"
+    api_base = (
+        "https://gateway.example.com/tenant/openai/v1"
+        "?gateway_route=europe&gateway_route=backup"
+        "&model=gateway-model&intent=gateway-intent"
+    )
     query_params: RealtimeQueryParams = {
         "model": "gpt-4o-realtime-preview-2024-10-01",
         "intent": "chat",
     }
     url = handler._construct_url(api_base=api_base, query_params=query_params)
-    # Both 'model' and other params should be included in the query string
-    assert url.startswith("wss://api.openai.com/v1/realtime?")
-    assert "model=gpt-4o-realtime-preview-2024-10-01" in url
-    assert "intent=chat" in url
+    parsed_url = httpx.URL(url)
+    assert parsed_url.path == "/tenant/openai/v1/realtime"
+    assert parsed_url.params.get_list("gateway_route") == ["europe", "backup"]
+    assert parsed_url.params["model"] == "gateway-model"
+    assert parsed_url.params["intent"] == "gateway-intent"
 
 
 def test_openai_realtime_handler_model_parameter_inclusion():