Individual provider Active NPI

Jennifer R Keiner, MD

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1508863887
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73785 Issued in CA
Practice address
19361 Beach Blvd
Huntington Beach, CA 92648-2503
Phone
(714) 960-4500
Fax
(714) 960-7133
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A73785 CA Primary

Addresses

Primary practice location

19361 Beach Blvd
Huntington Beach, CA 92648-2503

Mailing address

PO Box 3661
Newport Beach, CA 92659-8661
Phone (657) 241-3600

Other identifiers 1

IdentifierTypeStateIssuer
00A737850OtherCAMEDI CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20040409000668 CA Practitioner - HospitalistPractitioner - Internal Medicine 3870587165 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 Newport Ctr Dr
Suite 502
Newport Beach, CA 92660-7626
Phone (949) 644-3565

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73785CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bart Alden Barrett MD Inc CurrentSince Mar 19, 2023 Accepting new patients
Pacific Hospitalist Associates a Medical Corporation Internal Medicine Past Accepting new patients

Locations

19361 Beach Blvd
Huntington Beach, CA 92648
Phone (714) 960-4500

Interoperability endpoints

  • Direct secure messaging: jennifer.keinermd.p76@direct.nautilus.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1508863887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3661",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598661",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19361 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482503",
            "telephone_number": "714-960-4500",
            "fax_number": "714-960-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEINER",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A737850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.