Individual provider Active NPI

Martin E Keisch, MD

  • Radiation Oncology Physician
  • Miami Shores, FL
National Provider Identifier
1326018037
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME 62256 Issued in FL
Practice address
9165 Park Dr
Miami Shores, FL 33138-3163
Phone
(305) 545-6685
Fax
(305) 545-6687
NPI assigned
Jan 25, 2006
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME 62256 FL Primary

Addresses

Primary practice location

9165 Park Dr
Miami Shores, FL 33138-3163

Mailing address

9165 Park Dr
Miami Shores, FL 33138-3163
Phone (305) 545-6685

Other practice location 1

3700 Washington St Ste 302
Hollywood, FL 33021-8249
Phone (954) 987-5600

Other identifiers 1

IdentifierTypeStateIssuer
024162600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060206000352 FL Practitioner - Radiation Oncology 7618981036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Tufts University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Healthcare Associates, P.L.Group PAC ID 3577571371, 4 clinicians

Practice addresses (Care Compare)

9165 Park Dr
Miami Shores, FL 33138-3163
Phone (305) 545-6685

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.97
Improvement activities
40
Cost
91.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 62256FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Healthcare Associates, P.L. Radiation Oncology CurrentSince Jan 1, 2006 Accepting new patients
Leonard Toonkel MD & Associates PA Radiation Oncology Past Accepting new patients
Cancer Services of Aventura LLC Past Accepting new patients

Locations

3700 Washington St
Ste 302
Hollywood, FL 33021
Phone (954) 963-2930

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

9165 Park Dr
Miami Shores, FL 33138
Phone (305) 545-6685

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mkeisch7984@direct.med.miami.edu

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.

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1326018037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383163",
            "telephone_number": "305-545-6685",
            "fax_number": "305-545-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383163",
            "telephone_number": "305-545-6685",
            "fax_number": "305-545-6687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218249",
            "country_code": "US",
            "telephone_number": "954-987-5600",
            "fax_number": "954-967-9886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEISCH",
        "first_name": "MARTIN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME 62256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024162600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.