Lisa R Keiner, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS019771 Issued in PA

Practice address

5675 N Front St Ste 141
Philadelphia, PA 19120-2719

Phone

(267) 428-6575

NPI assigned

Aug 30, 2006

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dedicated Pennsylvania Holding, LLC

  dba Dedicated Pennsylvania Mayfair

  • Specialist
  • Philadelphia, PA
  • NPI 1477053569

  Internal Medicine

  Medicare reassignment NPD
• Suburban Medical Group LLC

  • Family Medicine Physician
  • East Norriton, PA
  • NPI 1710355029

  Internal Medicine

  Medicare reassignment NPD
• Atlanticare Health Services, Inc.

  • Clinic/Center
  • Atlantic City, NJ
  • NPI 1215987771
  Medicare reassignment NPD
• Dedicated Pennsylvania Holding, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1366950776
  NPD
• Dedicated Pennsylvania Holding, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1841707965

  Internal Medicine

  NPD
• Atlanticare Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Egg Harbor Township, NJ
  • NPI 1407617947
  NPD
• Prime Healthcare Services-Roxborough Providers LLC

  • Psychologist
  • Philadelphia, PA
  • NPI 1649525627
  NPD (past)
• Atlanticare Health Services Inc.

  dba AtlantiCare Mission Health Care Galloway

  • Federally Qualified Health Center (FQHC)
  • Galloway, NJ
  • NPI 1043700495
  NPD (past)
• Atlanticare Health Services, Inc.

  dba T.E.A.M. Diabetes

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1477799294
  NPD (past)
• Regional Physician Services, NJ, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1396736864
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1497865497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "267-428-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 N FRONT ST STE 141",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202719",
            "telephone_number": "267-428-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5458 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191283732",
            "country_code": "US",
            "telephone_number": "215-487-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEINER",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS019771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7699107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Keil, MD, PHD
• John Donald Keilty, MD
• Garrett Patrick Keim, M.D.
• Jennifer Keim, MD
• Susan K Keim, MSN, MS, CRNP
• Rebecca N Keiser, LCSW
• Massa Keita
• Mohamed Keita
• Allison Bright Keiter, MSED, LPC, NCC
• Sara Anne Keith

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.