Matthew Minseok Keum, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

35078037 Issued in OH

Practice address

36060 Euclid Ave Ste 101
Willoughby, OH 44094-4661

Phone

(440) 269-4990

Fax

(440) 269-4991

NPI assigned

Sep 14, 2005

Last updated

Apr 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain Management

Education

New York Medical College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098

Merit-based Incentive Payment System (MIPS)

Final score

89.73 of 100Reported as individual

Quality

89.3

Promoting interoperability

85

Improvement activities

40

Cost

88.99

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAFHBA/Endpoint/HAFHBA
• Direct secure messaging: mkeum219128@ehrdirect.uhhospitals.org

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

• Matthew M Keum, M.D., Inc

  • Pain Medicine Physician
  • Willoughby, OH
  • NPI 1518224906
  Medicare reassignment Authorized official
• Northwest Missouri Physical Medicine and Rehabilitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Joseph, MO
  • NPI 1548325772
  NPD (past)

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

• Lake Hospital System Inc

  dba Lake Health

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1073508297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36060 EUCLID AVE STE 101",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944661",
            "telephone_number": "440-269-4990",
            "fax_number": "440-269-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36060 EUCLID AVE STE 101",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944661",
            "telephone_number": "440-269-4990",
            "fax_number": "440-269-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUM",
        "first_name": "MATTHEW",
        "middle_name": "MINSEOK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35078037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kennedy, LSW
• Kent a. Caserta, DDS., Inc.
• Briella Kent
• Mandy Kern
• Danielle Keter
• Sujata Khosla, M.D
• Jenica Kidd, RN
• Kidsfirst Pediatrics Company
• Carol Ann Killoran, D.MIN
• Anne Wanjiru Kimani, LPN

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.