Gary M Keoleian, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

GK407137 Issued in MI

Practice address

4499 Town Center Pkwy
Flint, MI 48532-3425

Phone

(810) 733-7111

Fax

(810) 733-7141

NPI assigned

Jun 9, 2005

Last updated

Feb 10, 2012By the provider in NPPES

Sex

Male

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 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

University of Michigan Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mei Operations, PLLCGroup PAC ID 2860436318, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gkeoleian@michiganeyeinstitute.imwdirect.com
• Direct secure messaging: gkeoleian1134477@direct.hfhs.org

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.

• Mei Operations, PLLC

  dba Michigan Eye Institute

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1316008774
  Medicare reassignment Care Compare group NPD
• Lapeer County Eye Associates Inc

  • Optometrist
  • Lapeer, MI
  • NPI 1235311200
  NPD (past)
• Mei Surgery Center LLC

  dba Michigan Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Flint, MI
  • NPI 1598189342
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1538163217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 HANNA ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 TOWN CENTER PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425",
            "telephone_number": "810-733-7111",
            "fax_number": "810-733-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOLEIAN",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "GK407137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3746482",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Lee Kennedy
• Sharlene K Kennedy, N. P.
• Stacey Kennedy, PHARMD
• Rachel Evelyn Kenney, M.A.
• Venkatesh Kenni Ragavan
• Shatomi Kerbawy, MD
• Kavitha Kesari, MD
• Timothy Raymond Kessler, PA-C
• Keva Angels Home Care LLC
• Kevin J Gaffney MD PC

• Ophthalmology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.