Individual provider Active NPI

Ralph Keill, MD

  • Surgery Physician
  • Carmel Valley, CA
National Provider Identifier
1619970217
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C27407 Issued in CA
Practice address
5 Woodside PL
Carmel Valley, CA 93924-9545
Phone
(831) 659-5124
NPI assigned
May 27, 2005
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C27407 CA Primary

Addresses

Primary practice location

5 Woodside PL
Carmel Valley, CA 93924-9545

Mailing address

PO Box 2300
Salinas, CA 93902-2300
Phone (831) 622-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C27407CAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1619970217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2300",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939022300",
            "telephone_number": "831-622-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WOODSIDE PL",
            "city": "CARMEL VALLEY",
            "state": "CA",
            "postal_code": "939249545",
            "telephone_number": "831-659-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILL",
        "first_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C27407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel Valley, CA

Sources for this page

Verify at the official NPI Registry.