Jeffrey M Keil, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2018-01639 Issued in NC

Practice address

6602 Knightdale Blvd Ste 102
Knightdale, NC 27545

Phone

(919) 747-5210

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jkeil457792@direct.medicine.duke.edu

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.

• Rex Hospital Inc

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1972939643
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1124070529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 KNIGHTDALE BLVD STE 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456526",
            "telephone_number": "919-747-5210",
            "fax_number": "919-747-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 KNIGHTDALE BLVD STE 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "27545",
            "telephone_number": "919-747-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 SW Cary Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116224",
            "country_code": "US",
            "telephone_number": "919-387-3180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 S Stoughton Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537162257",
            "country_code": "US",
            "telephone_number": "608-260-6000",
            "fax_number": "608-260-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11200 Governor Manly Way Ste 114",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276147360",
            "country_code": "US",
            "telephone_number": "919-570-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEIL",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "36966-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2018-01639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32134600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kambour
• Kapital Connections, LLC
• Lydia Gorrette Katikiri
• Kelli Eileen Keaton, DPT
• Jennifer Upchurch Keene, MSW, LCSWA
• Kristina Faye Kelley
• Tracy Wogan Kendrick, M.D.
• Jacqueline Farber Kerkow
• Kevin Chidester, D.M.D., P.L.L.C.
• Razu Khan, NP

• Family Medicine Physician in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.