Individual provider Active NPI

Mitchell Todd Keschner, MD

  • Orthopaedic Surgery Physician
  • Plainview, NY
National Provider Identifier
1093815920
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
215573 Issued in NY
Practice address
651 Old Country Rd
Plainview, NY 11803
Phone
(516) 681-8822
Fax
(516) 681-3332
NPI assigned
Sep 22, 2006
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 215573 NY Primary

Addresses

Primary practice location

651 Old Country Rd
Plainview, NY 11803

Mailing address

651 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040902001466 NY Practitioner - Orthopedic Surgery 2062488802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Central Orthopedic Group L L PGroup PAC ID 3375432362, 23 clinicians

Practice addresses (Care Compare)

5840 Merrick Rd
Massapequa, NY 11758-6225
Phone (516) 681-8822

651 Old Country Rd
Plainview, NY 11803-4938
Phone (516) 681-8822

77 N Centre Ave
Suite 210
Rockville Centre, NY 11570-3923
Phone (516) 681-8822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Central Orthopedic Group L L P CurrentSince Aug 30, 2004 Accepting new patients
The Central Orthopedic Group L L P Orthopaedic Surgery CurrentSince Aug 30, 2004 Accepting new patients
The Central Orthopedic Group L L P Orthopaedic Surgery Past Accepting new patients

Locations

5840 Merrick Rd
Massapequa, NY 11758
Phone (516) 681-8822

651 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8822

77 N Centre Ave
Ste 210
Rockville Centre, NY 11570
Phone (516) 681-8822

Networks

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

Interoperability endpoints

  • Direct secure messaging: mitchell.keschner@983.chartlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1093815920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-681-8822",
            "fax_number": "516-681-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-681-8822",
            "fax_number": "516-681-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESCHNER",
        "first_name": "MITCHELL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "215573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.