Michael Louis Keil, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5101012052 Issued in MI

Practice address

2757 Leonard St NE
Suite 300
Grand Rapids, MI 49525-5807

Phone

(616) 942-9424

Fax

(616) 942-9797

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Ophthalmology

Education

Michigan State University College of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Keil Lasik Vision Center, PLC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1194049973
  Medicare reassignment NPD Authorized official
• Metropolitan Hospital

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1114947538

  Ophthalmology

  NPD (past)
• Metropolitan Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497720122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-942-9424",
            "fax_number": "616-942-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEONARD ST NE",
            "address_2": "SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255807",
            "telephone_number": "616-942-9424",
            "fax_number": "616-942-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Health Dr SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199700",
            "country_code": "US",
            "telephone_number": "616-252-5710",
            "fax_number": "616-252-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEIL",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101012052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1854111145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757986",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Kegel, DO
• Emily Kegel
• Julie Michelle Kehdi, DO
• Debra Renfrew Kehr, LMSW
• Keil Lasik Vision Center, PLC
• Madeline Joy Keinath
• Keasha Keintz, PA
• Florence Keirnan, M.D.
• Chelsea Keith
• Kevin Hastings Keith, LLMSW

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.