Individual provider Active NPI

Timothy Scott Keidel Jr., DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Ocala, FL
National Provider Identifier
1710480041
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
OS20246 Issued in FL
Practice address
2120 SW 22ND PL
Ocala, FL 34471-7765
Phone
(352) 732-5042
Fax
(352) 732-6031
NPI assigned
Mar 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X OS20246 FL Primary

Addresses

Primary practice location

2120 SW 22ND PL
Ocala, FL 34471-7765

Mailing address

2120 SW 22ND PL
Ocala, FL 34471-7765
Phone (352) 732-5042

Other names 1

  • Mr. Scott Keidel Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ocalaearnoseandthroatspecialists@oent.allscriptsdirest.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230829001745 FL Practitioner - Osteopathic Manipulative Medicine 8123375912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Management of Ocala IncGroup PAC ID 4587619036, 5 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2120 SW 22ND PL
Ocala, FL 34471-7765
Phone 3527325042230

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.78 of 100Reported as group
Quality
46.31
Improvement activities
40
Cost
77.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20246FLMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Management of Ocala Inc Plastic Surgery Within the Head & Neck CurrentSince Sep 1, 2023 Accepting new patients

Locations

2120 SW 22nd Pl
Ocala, FL 34471
Phone (352) 732-5042

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1710480041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717765",
            "telephone_number": "352-732-5042",
            "fax_number": "527-326-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717765",
            "telephone_number": "352-732-5042",
            "fax_number": "352-732-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIDEL",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "OS20246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ocalaearnoseandthroatspecialists@oent.allscriptsdirest.net",
            "affiliation": "N",
            "address_1": "2120 SW 22nd Pl",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344717765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "KEIDEL",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.