Individual provider Active NPI

Richard W Keyme, MD

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
National Provider Identifier
1174866107
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A133422 Issued in CA
Practice address
1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350
Phone
(408) 528-8833
NPI assigned
Mar 27, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 19411 NV
Physical Medicine & Rehabilitation Physician 208100000X A133422 CA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A133422 CA
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X A133422 CA

Addresses

Primary practice location

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350

Mailing address

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350
Phone (408) 528-8833

Other practice location 1

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-3404

Other practice location 2

651 Wildwood Ln
Palo Alto, CA 94303-3117
Phone (310) 483-3540

Other practice location 3

3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone (650) 493-5000

Other practice location 4

1495 Mill St
Reno, NV 89502-1479
Phone (775) 982-5000

Other identifiers 1

IdentifierTypeStateIssuer
A133422OtherCACALIFORNIA MEDICAL LICENSE

Other names 1

  • Woo J Kim Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HTTPS://myalliedpain.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171107001646 CA Practitioner - Physical Medicine and Rehabilitation 8628334786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James Petros MD IncGroup PAC ID 0941479216, 21 clinicians

Practice addresses (Care Compare)

14777 Los Gatos Blvd
Suite 202
Los Gatos, CA 95032-2059
Phone (408) 528-8833

Merit-based Incentive Payment System (MIPS)

Final score
62.38 of 100Reported as individual
Quality
26.73
Improvement activities
40
Cost
72.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19411NVMDPhysical Medicine & Rehabilitation Physician
A133422CAMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation CurrentSince Jul 13, 2021 Accepting new patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation Current Accepting new patients
James Petros, M.D., Inc. Physical Medicine & Rehabilitation CurrentSince Jul 13, 2021 Accepting new patients

Locations

14777 Los Gatos Blvd
Ste 202
Los Gatos, CA 95032
Phone (408) 528-8833

1604 Blossom Hill Rd
Ste 10
San Jose, CA 95124
Phone (408) 528-8833

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: richard.keyme.1@30768.direct.athenahealth.com
  • Direct secure messaging: rkeyme154036@direct.renown.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174866107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 BLOSSOM HILL RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246350",
            "telephone_number": "408-528-8833",
            "fax_number": "408-827-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BLOSSOM HILL RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246350",
            "telephone_number": "408-528-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3249 Oak Park Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023429",
            "country_code": "US",
            "telephone_number": "708-783-3404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 Wildwood Ln",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943033117",
            "country_code": "US",
            "telephone_number": "310-483-3540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Miranda Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041207",
            "country_code": "US",
            "telephone_number": "650-493-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021479",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYME",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "19411",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A133422",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A133422",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "CA",
            "license": "A133422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A133422",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HTTPS://myalliedpain.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1604 Blossom Hill Rd Ste 10",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951246350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WOO",
            "last_name": "KIM",
            "middle_name": "J",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.