Individual provider Active NPI

Keith E Byers, MD

  • Internal Medicine Physician
  • Willoughby Hills, OH
National Provider Identifier
1326115528
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39718 Issued in OH
Practice address
35040 Chardon Rd # Suite 6200
Willoughby Hills, OH 44094-9055
Phone
(440) 953-9014
Fax
(440) 953-9173
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39718 OH Primary

Addresses

Primary practice location

35040 Chardon Rd # Suite 6200
Willoughby Hills, OH 44094-9055

Mailing address

35040 Chardon Rd # Suite 6200
Willoughby Hills, OH 44094-9055
Phone (440) 953-9014

Other identifiers 1

IdentifierTypeStateIssuer
0402479MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39718OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Internal Medicine Associates, Inc. Internal Medicine CurrentSince Oct 28, 2022 Accepting new patients

Locations

35040 Chardon Rd
Ste G200
Willoughby Hills, OH 44094
Phone (440) 953-9014

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1326115528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD # SUITE 6200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949055",
            "telephone_number": "440-953-9014",
            "fax_number": "440-953-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD # SUITE 6200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949055",
            "telephone_number": "440-953-9014",
            "fax_number": "440-953-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "39718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402479",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.