Active NPI
Paul Bernhard Keiser, M.D.
- Allergy & Immunology Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- D0086082
- Practice address
- 6000 Executive Blvd Ste 615
Rockville, MD 20852-3876 - Phone
- (202) 782-3321
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD474748 | PA | |
| Allergy & Immunology Physician | 207K00000X | D0086082 | MD | Primary |
| Allergy Physician | 207KA0200X | 0101056551 | VA |
Addresses
Primary practice location
6000 Executive Blvd Ste 615
Rockville, MD 20852-3876
Mailing address
6000 Executive Blvd Ste 615
Rockville, MD 20852-3876
Phone (240) 747-5750
Other practice location 1
1800 Town Center Dr Ste 215
Reston, VA 20190-3238
Phone (703) 481-0324
Other practice location 2
2200 Opitz Blvd Ste 230
Woodbridge, VA 22191-3341
Phone (703) 490-5803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Washington University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Thomas Johnson Dr
Suite 210
Frederick, MD 21702-4970
Phone (240) 817-0810
14995 Shady Grove Rd
Suite 100
Rockville, MD 20850-8733
Phone (301) 869-7820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0086082 | MD | MD | Allergy & Immunology Physician |
| MD474748 | PA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMV Allergy and Asthma Center LLC | Allergy & Immunology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Asthma & Allergy Center LLC | Allergy & Immunology | Past | Accepting new patients |
Locations
112 Thomas Johnson Dr
Ste 210
Frederick, MD 21702
Phone (240) 817-0810
Organizations & group practices 4
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.
-
- Allergy & Immunology Physician
- Annapolis, MD
- NPI 1831078427
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1457476699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 EXECUTIVE BLVD STE 615",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523876",
"telephone_number": "240-747-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 EXECUTIVE BLVD STE 615",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523876",
"telephone_number": "202-782-3321"
}
],
"practiceLocations": [
{
"address_1": "1800 Town Center Dr Ste 215",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201903238",
"country_code": "US",
"telephone_number": "703-481-0324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Opitz Blvd Ste 230",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221913341",
"country_code": "US",
"telephone_number": "703-490-5803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEISER",
"first_name": "PAUL",
"middle_name": "BERNHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD474748",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MD",
"license": "D0086082",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "VA",
"license": "0101056551",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.