NPIMap

Individual provider Active NPI

Maayan E Keshet, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1053588632
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
250837 Issued in NY
Practice address
330 W 58TH St
New York, NY 10019-1827
Phone
(212) 204-0600
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 234819 MA
Specialist 174400000X 250837 NY Primary

Addresses

Primary practice location

330 W 58TH St
New York, NY 10019-1827

Mailing address

330 W 58TH St
New York, NY 10019-1827
Phone (212) 204-0600

Other identifiers 1

IdentifierTypeStateIssuer
03107908MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000604 NY Practitioner - Ophthalmology 0840358206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maayan Keshet MD PCGroup PAC ID 8628296290, 2 clinicians

Practice addresses (Care Compare)

330 W 58TH St
Suite 600
New York, NY 10019-1817
Phone (781) 608-9871

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.89

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York Eye Surgery Associates PLLC Specialist CurrentSince Aug 1, 2014 Accepting new patients
Maayan Keshet MD PC CurrentSince Mar 12, 2014 Accepting new patients
Mark Fromer, MD PC Ophthalmology PastSince Jul 1, 2011 Accepting new patients
SLR Ophthalmology Associates, PC Past Accepting new patients

Locations

1101 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 515-3500

330 W 58th St
Ste 600
New York, NY 10019
Phone (212) 204-0600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mkeshet@cityeyemd.direct.eyemdemr.com
  • Direct secure messaging: mkeshet68927@northwell.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1053588632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-204-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-204-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHET",
        "first_name": "MAAYAN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "234819",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "250837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03107908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.