Shalom Joshua Kieval, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

172224 Issued in NY

Practice address

223 Great Oaks Blvd
Albany, NY 12203-5964

Phone

(518) 218-1234

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Harvard Medical School, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shalom J. Kieval, MD PCGroup PAC ID 8729118534, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skieval@retinacare.medentdirect.com

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.

• Shalom Kieval MD PC

  • Ophthalmology Physician
  • Latham, NY
  • NPI 1821316928
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1316048796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SUNSET DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102103",
            "telephone_number": "518-218-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 GREAT OAKS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035964",
            "telephone_number": "518-218-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEVAL",
        "first_name": "SHALOM",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "172224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01045665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Kidder, LMSW
• Kids & Family Dental PC
• Anita Kiehl, MD
• Taylor Kiehl
• Ann Kieler, MD
• Katelyn Kilgallon
• Megan Killeen, PA-C
• Coretta E Killikelly
• Anna Kim
• Dennis Kim, MD

• Ophthalmology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.