Organization Active NPI

Keith Sadel, MD Internal Medicine, LLC

  • Medical Specialty Clinic/Center
  • Southampton, PA
National Provider Identifier
1710132287
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD069234L Issued in PA
Legal business name
KEITH SADEL, MD INTERNAL MEDICINE, LLC
Practice address
715 Cherry LN FL 2
Southampton, PA 18966-3936
Phone
(215) 357-2666
Fax
(215) 357-2677
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dr. Keith Sadel, MDNPI 1104939495
Title
President
Phone
(215) 205-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD069234L PA Primary

Addresses

Primary practice location

715 Cherry LN FL 2
Southampton, PA 18966-3936

Mailing address

49 Black Rock PL
Holland, PA 18966-2003
Phone (215) 205-8020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000221 PA Part B Supplier - Clinic/Group Practice 8426113531 Receives reassigned benefits from 1 practitioner
Practice locations: Southampton, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1098616Keith Sadel MD Int Med LLC715 Cherry Lane, 2ND Floor, Southampton, PA 18966Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Locations

965 Street Rd
Southampton, PA 18966
Phone (215) 357-2666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1710132287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BLACK ROCK PL",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662003",
            "telephone_number": "215-205-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CHERRY LN FL 2",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663936",
            "telephone_number": "215-357-2666",
            "fax_number": "215-357-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH SADEL, MD INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "SADEL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-205-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD069234L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.