Individual provider Active NPI

McKirven Ceus, MD

  • Sports Medicine (Family Medicine) Physician
  • Nanuet, NY
National Provider Identifier
1295154730
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
293059 Issued in NY
Practice address
162 E Route 59
Nanuet, NY 10954-2910
Phone
(845) 579-2700
Fax
(845) 259-1904
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 293059 NY Primary

Addresses

Primary practice location

162 E Route 59
Nanuet, NY 10954-2910

Mailing address

162 E Route 59
Nanuet, NY 10954-2910
Phone (845) 579-2700

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
I20180510000896 NY Practitioner - Family Practice 2163648320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

162 E Route 59
Nanuet, NY 10954-2910
Phone (845) 579-2700

193 W 237TH St
Bronx, NY 10463-4141
Phone (718) 303-0479

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293059NYMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince May 14, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jan 18, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jan 18, 2021 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Optum Medical Care, P.C. CurrentSince May 14, 2018 Accepting new patients
The Sports Medical Zone PLLC Sports Medicine CurrentSince Apr 6, 2020 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

193 W 237th St
Bronx, NY 10463
Phone (718) 303-0479

600 Westage Business Ctr Dr
#D
Fishkill, NY 12524

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

162 E Route 59
Nanuet, NY 10954
Phone (845) 694-8808

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

169 Main St
#2
Nyack, NY 10960
Phone (845) 579-2700

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: mckirven.ceus.1@2983.direct.athenahealth.com

Organizations & group practices 6

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1295154730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542910",
            "telephone_number": "845-579-2700",
            "fax_number": "845-259-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542910",
            "telephone_number": "845-579-2700",
            "fax_number": "845-259-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEUS",
        "first_name": "MCKIRVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "293059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.