Individual provider Active NPI

Kornelia Keszler, MD

  • Cardiovascular Disease Physician
  • Madison, CT
National Provider Identifier
1639268311
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16467 Issued in CT
Practice address
1-B Meigswood
Madison, CT 06443
Phone
(203) 245-4343
Fax
(203) 245-5920
NPI assigned
Oct 12, 2006
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16467 CT
Cardiovascular Disease Physician 207RC0000X 16467 CT Primary

Addresses

Primary practice location

1-B Meigswood
Madison, CT 06443

Mailing address

1-B Meigswood
Madison, CT 06443
Phone (203) 245-4343

Other identifiers 1

IdentifierTypeStateIssuer
001664672MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20061128000548 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284632381 Practice locations: Madison, CT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016467CTMDClinical Social Worker
16467CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kornelia Keszler, MD, PC Internal Medicine CurrentSince Oct 10, 1986 Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Saint Raphael Faculty Physicians Internal Medicine Past Accepting new patients

Locations

1 Meigs Ave
Madison, CT 06443
Phone (203) 245-4343

1 Meigs Ave
#B
Madison, CT 06443
Phone (203) 245-4343

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1639268311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1-B MEIGSWOOD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "06443",
            "telephone_number": "203-245-4343",
            "fax_number": "203-245-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1-B MEIGSWOOD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "06443",
            "telephone_number": "203-245-4343",
            "fax_number": "203-245-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESZLER",
        "first_name": "KORNELIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "16467",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "16467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001664672",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.