Keith William Rae, D.M.D., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

74679 Issued in MA

Practice address

39 Cross St
Suite 109
Peabody, MA 01960-1670

Phone

(978) 741-9004

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

Yes

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.

• Congenial Healthcare, LLC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1730608720

  MA

  Medicare reassignment Care Compare group NPD
• Mass General Brigham Medical Group Northern Massachusetts Inc

  • Emergency Medicine Physician
  • Salem, MA
  • NPI 1588606123

  MA

  Medicare reassignment Care Compare group NPD
• Mass General Brigham Medical Group Northern Massachusetts Inc

  • Clinical Medical Laboratory
  • Haverhill, MA
  • NPI 1033066972
  Care Compare group
• Congenial Healthcare, LLC

  • Family Medicine Physician
  • Middleton, MA
  • NPI 1063923399
  NPD
• Congenial Healthcare, LLC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1790241735
  NPD
• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  NPD
• Retina Associates Inc

  • Ophthalmic Technician/Technologist
  • Boston, MA
  • NPI 1841410685
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mass General Brigham Home Care, Inc.

  • Home Health Agency
  • Newton, MA
  • NPI 1083644017
  Care Compare affiliation Name & address match
• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633

  Hospital

  Care Compare affiliation
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236

  Hospital

  Care Compare affiliation

Specialty

Plastic and Reconstructive Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Congenial Healthcare LLC 12 clinicians

Mass General Brigham Medical Group Northern Massachusetts Inc 817 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
• North Shore Medical Center - Hospital, Salem, MA, CCN 220035
• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rae.keith.nsmc@direct.partners.masshiway.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2015.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1437137643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CROSS ST",
            "address_2": "SUITE 109",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601670",
            "telephone_number": "978-741-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CROSS ST",
            "address_2": "SUITE 109",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601670",
            "telephone_number": "978-741-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "74679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081150",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Quealy
• Wendy Renee Quigley
• Karen M Quinlan-Bach, M.S. CCC/SLP
• Blake Quinn, OTR/L
• Claudia M Racalbuto, NP
• Rainbow Adult Day Center Inc
• Kamyar Raiss Giglou
• Mark D Raizin, M.D.
• Jean Rakip
• Amanda Ralph, BCBA

• All providers in Peabody, MA
• Plastic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.