Active NPI
Michael H Keslin, M.D.
- Allergy & Immunology Physician
- Albuquerque, NM
National Provider Identifier
1467475756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 70-148
- Practice address
- 6100 Pan American East Fwy NE
Suite 330
Albuquerque, NM 87109-3427 - Phone
- (505) 856-2735
- Fax
- (505) 856-2749
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 70-148 | NM | Primary |
Addresses
Primary practice location
6100 Pan American East Fwy NE
Suite 330
Albuquerque, NM 87109-3427
Mailing address
PO Box 2154
Skyland, NC 28776-2154
Phone (828) 575-2644
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001051 | Other | NM | LOVELACE |
| NM001R88 | Other | NM | BLUE CROSS BLUE SHIELD |
| 7286515 | Other | NM | AETNA |
| 24950 | Medicaid | NM | |
| 3545500 | Other | NM | CIGNA |
| NM0012Q04 | Other | NM | BLUE CROSS BLUE SHIELD |
| 34P718001 | Other | NM | MEDICARE PTAN |
| 202020906 | Other | NM | PRESBYTERIAN |
| 2665015 | Other | NM | UNITED HEALTH CARE |
| 10733 | Other | NM | HMN |
| 343731801 | Other | NM | MEDICARE PTAN |
| PROVP13821 | Other | NM | MOLINA |
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
Interoperability endpoints
- mkeslin61225@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1467475756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2154",
"city": "SKYLAND",
"state": "NC",
"postal_code": "287762154",
"telephone_number": "828-575-2644",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 PAN AMERICAN EAST FWY NE",
"address_2": "SUITE 330",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093427",
"telephone_number": "505-856-2735",
"fax_number": "505-856-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESLIN",
"first_name": "MICHAEL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NM",
"license": "70-148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10001051",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM001R88",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7286515",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24950",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3545500",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM0012Q04",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "34P718001",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "202020906",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2665015",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMN",
"identifier": "10733",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "343731801",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP13821",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.