Individual provider Active NPI

Janine Keuskamp, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1629343348
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
234778 Issued in NY
Practice address
630 W 168TH St
MC 28
New York, NY 10032-3725
Phone
(212) 305-1948
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 234778 NY
Diagnostic Radiology Physician 2085R0202X 234778 NY Primary

Addresses

Primary practice location

630 W 168TH St
MC 28
New York, NY 10032-3725

Mailing address

630 W 168TH St
P & S Box 28
New York, NY 10032-3725
Phone (212) 305-1948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20141217001928 NY Practitioner - Diagnostic Radiology 2961725270 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians

Practice addresses (Care Compare)

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

750 Columbus Ave
Apt 8H
New York, NY 10025-6479
Phone (302) 737-5990

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234778NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Aug 26, 2017 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Aug 26, 2017 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Neuroradiology CurrentSince Jun 1, 2023 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 27, 2020 Accepting new patients
Park West Radiology, PC Neuroradiology PastSince Jul 1, 2008 Accepting new patients
Simonmed Imaging, Incorporated Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907

277 Douglas Ave
Ste 1014
Altamonte Springs, FL 32714
Phone (407) 788-2888

265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

755 Stirling Center Pl
Ste 1541
Lake Mary, FL 32746
Phone (407) 514-1840

9582 W Colonial Dr
Ocoee, FL 34761
Phone (407) 363-6700

51 W Kaley St
Orlando, FL 32806
Phone (407) 999-9925

775 N Alafaya Trl
Orlando, FL 32828
Phone (321) 235-8700

7424 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 971-6344

875 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 944-2220

4161 Tamiami Trl
Unit 202204
Pt Charlotte, FL 33952

6000 Turkey Lake Rd
Ste 107
Sand Lake, FL 32819
Phone (407) 264-7160

10010 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (725) 937-6006

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

1110 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 629-7474

27443 Network Pl
Chicago, IL 60673

29493 Network Pl
Chicago, IL 60673

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1629343348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "P & S BOX 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "MC 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUSKAMP",
        "first_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "234778",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "234778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.