Individual provider Active NPI

Jessica Keusch, M.D.

  • Anesthesiology Physician
  • Bellmore, NY
National Provider Identifier
1245491737
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
240398-1 Issued in NY
Practice address
2547 Park PL
Bellmore, NY 11710-4505
Phone
(917) 371-8497
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 240398-1 NY Primary

Addresses

Primary practice location

2547 Park PL
Bellmore, NY 11710-4505

Mailing address

2547 Park PL
Bellmore, NY 11710-4505

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
I20081009000604 NY Practitioner - Anesthesiology 3779651393 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 831-4100

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240398-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2013 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Nov 1, 2020 Accepting new patients
The Rye Ambulatory Surgery Center, LLC CurrentSince Dec 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Jan 1, 2013 Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Jan 27, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
The Westchester Medical Group PC CurrentSince Nov 1, 2020 Accepting new patients
Empire Ambulatory Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

1000 N Village Ave
Ste 508
Rockville Ctr, NY 11570
Phone (516) 764-7900

1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700

800 Westchester Ave
Ste N511
Rye Brook, NY 10573
Phone (914) 261-9281

800 Westchester Ave
Ste S614
Rye Brook, NY 10573

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

226 Westchester Ave
White Plains, NY 10604
Phone (914) 437-9910

73 Market St
Yonkers, NY 10710
Phone (914) 848-8030

Networks

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

Interoperability endpoints

  • Direct secure messaging: jessica.keusch.1@21260.direct.athenahealth.com

Organizations & group practices 9

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 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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1245491737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 PARK PL",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 PARK PL",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104505",
            "telephone_number": "917-371-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUSCH",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "240398-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.