Active NPI
Keshav Primary Care, LLC
- Family Medicine Physician
- Greenbelt, MD
National Provider Identifier
1386089373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D57652
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.