Organization Active NPI

Keshav Primary Care, LLC

  • Family Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1386089373
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D57652 Issued in MD
Legal business name
KESHAV PRIMARY CARE, LLC
Practice address
7525 Greenway Center Dr Ste 210
Greenbelt, MD 20770-3525
Phone
(301) 358-1134
Fax
(301) 686-8586
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Mr. Kiran U Keshav
Title
Practice Manager
Phone
(301) 455-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D57652 MD Primary

Addresses

Primary practice location

7525 Greenway Center Dr Ste 210
Greenbelt, MD 20770-3525

Mailing address

7525 Greenway Center Dr Ste 210
Greenbelt, MD 20770-3525
Phone (301) 358-1134

Other names 1

  • Shylaja Keshav, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251203001693 DC Part B Supplier - Clinic/Group Practice 4789182031 Receives reassigned benefits from 2 practitioners
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Locations

7525 Greenway Center Dr
Ste 210
Greenbelt, MD 20770
Phone (301) 345-8882

7525 Greenway Center Dr
Ste 200
Greenbelt, MD 20770

41 Meeting House Ln
Southampton, NY 11968
Phone (631) 255-1970

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1386089373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 210",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "301-358-1134",
            "fax_number": "301-686-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 210",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "301-358-1134",
            "fax_number": "301-686-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESHAV PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "KESHAV",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-455-6545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D57652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shylaja Keshav, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.